Provider Demographics
NPI:1366090276
Name:MONTESANTI, KIRSTIN ELIZABETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KIRSTIN
Middle Name:ELIZABETH
Last Name:MONTESANTI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KIRSTIN
Other - Middle Name:ELIZABETH
Other - Last Name:AMISANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:59 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-2917
Mailing Address - Country:US
Mailing Address - Phone:716-395-8987
Mailing Address - Fax:
Practice Address - Street 1:3950 UNION RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-4252
Practice Address - Country:US
Practice Address - Phone:716-634-3603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065997183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist