Individual
DR. JANICE LYNN MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
257 LAFAYETTE AVENUE, SUITE 290, SUFFERN, NY 10901
(845) 369-3550
(845) 369-3552
Mailing address
257 LAFAYETTE AVENUE, SUITE 290, SUFFERN, NY 10901
(845) 369-3550
(845) 369-3552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
194024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600522046
—
NY
Enumeration date
07/24/2006
Last updated
07/08/2007
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