Individual
BRITTANY MONTAUBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
865 BROADWAY AVE, APT. 107B, HOLBROOK, NY 11741-4953
(631) 219-7555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3580519
NY
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
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