Individual
MICHAEL SCOTT MONTAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 801-8100
Mailing address
67 S POLLARD DR, FULTON, NY 13069-3439
(315) 254-3287
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
029126
NY
Other
Enumeration date
06/21/2022
Last updated
10/30/2025
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