Individual
DR. DIANE B MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
475 IRVING AVE STE 300, SYRACUSE, NY 13210-1528
(315) 464-3555
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
204155-1
NY
Other
Enumeration date
10/07/2016
Last updated
05/18/2022
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