Individual
RAYMOND C MONTANARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
30 HAGEN DR STE 220, ROCHESTER, NY 14625-2658
(585) 295-5302
(585) 248-0567
Mailing address
30 HAGEN DR STE 220, ROCHESTER, NY 14625-2658
(585) 295-5302
(585) 248-0567
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7754593
AETNA
NY
01
—
P019008722
BLUE CHOICE
NY
01
—
PA0309
PREFERRED CARE
NY
Enumeration date
08/30/2006
Last updated
02/19/2010
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