Individual
CARLOS H. MONTOYA-IRAHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 210, MINEOLA, NY 11501-4073
(516) 663-4600
(516) 663-4473
Mailing address
222 STATION PLZ N, SUITE 611, MINEOLA, NY 11501-3808
(516) 663-2532
(516) 663-2233
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
188908
NY
2080P0203X
Pediatric Critical Care Medicine Physician
188908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01344747
—
NY
Enumeration date
06/12/2006
Last updated
11/13/2013
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