Individual
MICHELLE MONTENEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, BUILDING 6//SUITE B125, BRONX, NY 10461-1138
(718) 918-5820
Mailing address
1400 PELHAM PKWY S, BUILDING 6//SUITE B125, BRONX, NY 10461-1138
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
303553
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
04/29/2020
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