| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NICHOLAS JOHN MONTANARO | 1881150688 | 2023-01-21 |
Nicholas John Montanaro is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881150688. Registration indicates Nicholas John Montanaro is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Nicholas John Montanaro DDS, MD |
| Practice Office Address | 27005 76TH AVE NEW HYDE PARK, NY US |
| Practice Office Telephone | 7184707130 |
| Mailing Address | 17 BARBARA DR FARMINGDALE, NY 117356103 US |
| Business Telephone | 5162338733 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 193400000X SING | Group Code |