Individual
MARSHA MONTFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
184 ELDRIDGE ST, NEW YORK, NY 10002-2992
(212) 453-4522
Mailing address
565 LIVONIA AVE, BROOKLYN, NY 11207-5209
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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