Individual
COLIN J MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2400 S CLINTON AVE BLDG G2ND, ROCHESTER, NY 14618-2668
(585) 341-7685
(585) 341-4220
Mailing address
2400 S CLINTON AVE BLDG G2ND, ROCHESTER, NY 14618-2668
(585) 341-7685
(585) 341-4220
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023632
NY
363AM0700X
Medical Physician Assistant
23632
NY
Other
Enumeration date
07/09/2019
Last updated
07/03/2023
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