Individual
LUCINDA JANE MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 GLEN ST STE 316, GLEN COVE, NY 11542-2701
(646) 201-6180
Mailing address
19953 21ST AVE, WHITESTONE, NY 11357-4119
(646) 201-6180
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
802-1069
NY
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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