Montello, Nicholas J

Montello, Nicholas J is an individual health care provider with primary practice located at 101 Adirondack Dr Ste 2 , Ticonderoga NY 12883-9334. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Montello, Nicholas J can be contacted via phone (518) 585-6708.

Contact Information

Primary practice address
101 Adirondack Dr Ste 2 Ticonderoga NY 12883-9334
Phone: (518) 585-6708
Fax: (518) 585-3260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F345137 New York

Profile Details

NPI number 1184285751
LBN Legal business name Montello, Nicholas J
Credentials DNP FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Apr 4th, 2022 - about 2 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 1184285751 NPPES
New York MEDICAID 05815090

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