Individual
MILDRED MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 MAIN ST, ONEIDA, NY 13421-2440
(315) 363-2350
(315) 361-1827
Mailing address
421 MAIN ST, ONEIDA, NY 13421-2440
(315) 363-2350
(315) 361-1827
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1874071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01267041
—
NY
Enumeration date
09/07/2006
Last updated
07/08/2007
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