Individual
JASON MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAT, ATR-BC
Contact information
Practice address
241 37TH ST, BROOKLYN, NY 11232-2417
(718) 232-1500
Mailing address
454 NOSTRAND AVE APT 2, BROOKLYN, NY 11216-1717
(646) 281-1952
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002375
NY
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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