Individual
JACKELINE URRUTIA-MONTELEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
245 OLD COUNTRY RD, MELVILLE, NY 11747-2726
(631) 465-6230
(631) 465-1967
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
293640
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2015
Last updated
11/08/2018
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