Individual
JEAN H MONFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(917) 353-1257
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(917) 353-1257
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
653696
NY
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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