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Individual

MRS. BETH JENNIFER MONTEVERDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
600 NORTHERN BLVD STE 111, GREAT NECK, NY 11021-5200
(516) 387-3990
(516) 387-3930
Mailing address
600 NOTHERN BOULEVARD, SUITE 111, GREAT NECK, NY 11021
(516) 387-3990

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019819
NY

Other

Enumeration date
07/07/2016
Last updated
12/28/2018
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