Individual provider · Type 1 NPI

Montana Len Northcutt, CNIM

Other Specialist/Technologist · Hauppauge, NY

NPI number 1164096426 Active

Practice location

140 Adams Ave
Hauppauge, NY 11788-3618

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1164096426

Montana Len Northcutt, CNIM's National Provider Identifier is 1164096426, issued on May 19, 2021. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Hauppauge, NY. The record was last updated on May 19, 2021.