Montellese, Daniel R.

Montellese, Daniel R. is an individual health care provider with primary practice located at 1320 Stony Brook Rd Ste 100 , Stony Brook NY 11790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Montellese, Daniel R. can be contacted via phone (631) 941-2273.

Contact Information

Primary practice address
1320 Stony Brook Rd Ste 100 Stony Brook NY 11790
Phone: (631) 941-2273
Fax: (631) 941-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 241554 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 241554-1 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 241554 New York

Profile Details

NPI number 1770679557
LBN Legal business name Montellese, Daniel R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Oct 11th, 2021 - about 3 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 1770679557 NPPES
New York MEDICAID 03427332

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