Vincent Leonard Montanti, MD
Individual provider Active NPI Surgery Physician · Staten Island Nyc, NY
NPI 1528261997 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528261997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 085495 (NY)
- Practice address
- 309 Flagg Place
Staten Island Nyc, NY 10304 - Phone
- (718) 351-7612
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 085495 | NY | Yes |
Addresses
Primary practice location
309 Flagg Place
Staten Island Nyc, NY 10304
Mailing address
309 Flagg Place
Staten Island Nyc, NY 10304
Phone (718) 351-7612
Other providers in Staten Island Nyc, NY
All providers in Staten Island Nyc, NY · Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.