Montera, Mark Anthony

Montera, Mark Anthony is an individual health care provider with primary practice located at 1561 Rte 9W , Lake Katrine NY 12449-5410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Montera, Mark Anthony can be contacted via phone (845) 231-5600.

Contact Information

Primary practice address
1561 Rte 9W Lake Katrine NY 12449-5410
Phone: (845) 231-5600
Fax: (845) 202-6005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 169085-1 New York

Profile Details

NPI number 1508820689
LBN Legal business name Montera, Mark Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Nov 18th, 2016 - about 9 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 1508820689 NPPES
New York MEDICAID 01069694

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