Organization
LISA
Active
Other names
Montalvo
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MONTALVO (RN)
(646) 271-7796
Entity
Organization
Contact information
Practice address
4 OLIN DR, NANUET, NY 10954-4522
(646) 271-7796
Mailing address
4 OLIN DR, NANUET, NY 10954-4522
(646) 271-7796
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22-487787
NY
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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