Individual
MICHAEL BEN MONTIERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Mailing address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
63774
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
149453
NY
Other
Enumeration date
07/08/2021
Last updated
03/15/2024
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