Individual
MARISA A MONTECALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 493-8865
(914) 594-2461
Mailing address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 493-8865
(914) 594-2461
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
168052
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01213510
—
NY
01
—
110063293
RAILROAD MEDICARE
NY
Enumeration date
07/25/2006
Last updated
08/07/2015
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