Individual
DR. GREGORY MONTALBANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
82 LAMBERTS LN, STATEN ISLAND, NY 10314-7210
(718) 477-5479
(718) 761-1770
Mailing address
82 LAMBERTS LN, STATEN ISLAND, NY 10314-7210
(718) 477-5479
(718) 761-1770
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
198286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902625
—
NY
01
—
1863396
UHC
—
01
—
2022777
AETNA
—
01
—
6016151
GHI
—
Enumeration date
07/22/2005
Last updated
11/07/2014
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