Individual
GINA MONTAGNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 BRIGGS ST, BELLMORE, NY 11710-3227
(917) 686-6697
Mailing address
719 BRIGGS ST, BELLMORE, NY 11710-3227
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381278
NY
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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