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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740242437 | NPPES |
| New York | MEDICAID | 01795293 |
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