Individual
GRACE MONTELEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
173 MINEOLA BLVD, STE 203, MINEOLA, NY 11501-2528
(516) 741-3560
(516) 741-3562
Mailing address
173 MINEOLA BLVD, STE 203, MINEOLA, NY 11501-2528
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008466
NY
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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