Individual
AMELIA MARIE MONTLEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3039 N OCEAN AVE, FARMINGVILLE, NY 11738-2913
(631) 375-5102
Mailing address
3039 N OCEAN AVE, FARMINGVILLE, NY 11738-2913
(631) 375-5102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3796501
NY
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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