Individual
ANNA MONTAUREDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4125
Mailing address
PO BOX 5200, MANHASSET, NY 11030-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013637
NY
Other
Enumeration date
11/18/2009
Last updated
05/02/2013
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