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

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X876366 (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.