Individual
BRUCE MONTELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
173 MAINE AVENUE, STATEN ISLAND, NY 10314-1031
(718) 720-1528
Mailing address
49 MANOR DR, MARLBORO, NJ 07746-1972
(908) 628-1995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SC06059400
NJ
1041C0700X
Clinical Social Worker
Primary
055623
NY
Other
Enumeration date
04/21/2019
Last updated
02/05/2026
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