Individual
DR. NICHOLAS JOHN MONTANARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
207 HALLOCK RD STE 2, STONY BROOK, NY 11790-3072
(631) 675-9601
(631) 675-9602
Mailing address
207 HALLOCK RD STE 2, STONY BROOK, NY 11790-3072
(631) 675-9601
(631) 675-9602
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
338189
NY
Other
Enumeration date
02/17/2019
Last updated
09/17/2025
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