Individual
NICHOLAS MONTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
1866 BLEECKER ST APT 1R, RIDGEWOOD, NY 11385-1698
(516) 443-8157
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307416
NY
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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