Provider Demographics
NPI:1306109293
Name:MONTELIONE, BARBARA M (MSED)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:M
Last Name:MONTELIONE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GARDENIA LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-3306
Mailing Address - Country:US
Mailing Address - Phone:516-796-8927
Mailing Address - Fax:
Practice Address - Street 1:12 GARDENIA LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-3306
Practice Address - Country:US
Practice Address - Phone:516-796-8927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-17
Last Update Date:2012-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1929272174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist