Individual
MR. CARLOS AUGUSTO MONTENEGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 PENNSYLVANIA AVE, BROOKLYN, NY 11207-4101
(718) 395-9180
(718) 385-9477
Mailing address
9511 99TH AVE, OZONE PARK, NY 11416-2515
(718) 322-2688
(718) 385-9180
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
227588
NY
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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