Individual
IVETH VIVIANA MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 W END AVE, NEW YORK, NY 10025-5349
(646) 353-2405
(212) 622-9222
Mailing address
825 W END AVE, NEW YORK, NY 10025-5349
(646) 353-2405
(212) 622-9222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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