Individual
MARY ELIZABETH MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1250 BROADWAY FL 7, NEW YORK, NY 10001-3701
(212) 690-1920
(212) 290-3933
Mailing address
1250 BROADWAY FL 7, NEW YORK, NY 10001-3701
(212) 609-1920
(212) 290-3933
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-02738
NM
Other
Enumeration date
08/11/2013
Last updated
02/09/2024
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