Individual
ADDISON MONTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
22215 NORTHERN BLVD, BAYSIDE, NY 11361-3678
(718) 225-1414
Mailing address
215 W 95TH ST APT 15K, NEW YORK, NY 10025-6357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
874130-01
NY
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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