Individual
ANTONIO ENRIQUE MONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
111 TERRY RD, SMITHTOWN, NY 11787-3848
(631) 265-4120
Mailing address
19 ALJAN DR, BRENTWOOD, NY 11717-5607
(631) 951-2234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
072143
NY
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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