Individual
MICHAEL MONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RTT
Contact information
Practice address
128 AVE N, BROOKLYN, NY 11230
(718) 285-5511
Mailing address
128 AVENUE N, BROOKLYN, NY 11230-5578
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
263294
NY
Other
Enumeration date
12/26/2008
Last updated
12/26/2008
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