Montazem, Andre H.

Montazem, Andre H. is an individual health care provider with primary practice located at 1 Gustave L Levy Pl Box 1187, New York NY 10029-6500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Montazem, Andre H. can be contacted via phone (212) 241-0316.

Contact Information

Primary practice address
1 Gustave L Levy Pl Box 1187 New York NY 10029-6500
Phone: (212) 241-0316
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 208721 New York

Profile Details

NPI number 1740242437
LBN Legal business name Montazem, Andre H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740242437 NPPES
New York MEDICAID 01795293

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