Individual provider · Type 1 NPI
Coral N. Montana
Pediatric Nurse Practitioner · New Hartford, NY
NPI number
1629637335
Active
Practice location
1729 Burrstone Rd
New Hartford, NY 13413-1001
Fax (315) 798-1726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382966 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1629637335
Coral N. Montana's National Provider Identifier is 1629637335, issued on Jun 7, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Hartford, NY. The record was last updated on Jun 7, 2019.