Individual provider · Type 1 NPI
Jerry Montgomery, RN
General Practice Registered Nurse · Long Island City, NY
NPI number
1225851074
Active
Practice location
2811 Queens Plz N
Long Island City, NY 11101-4172
Mailing address
107 Logan Ave
Staten Island, NY 10301-4259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 876366 (NY) |
General Practice Registered Nurse: Definition to come...
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About NPI 1225851074
Jerry Montgomery, RN's National Provider Identifier is 1225851074, issued on Oct 31, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Long Island City, NY. The record was last updated on Oct 31, 2024.