Provider Demographics
NPI:1558675546
Name:MONTHONY, GAIL A (RN)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:A
Last Name:MONTHONY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:HAMILTON COUNTY PUBLIC HEALTH NURSING SERVICE
Mailing Address - City:INDIAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12842-0250
Mailing Address - Country:US
Mailing Address - Phone:518-648-6141
Mailing Address - Fax:
Practice Address - Street 1:250 WHITE BIRCH LANE
Practice Address - Street 2:
Practice Address - City:INDIAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:12842-0250
Practice Address - Country:US
Practice Address - Phone:518-648-6141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY510954163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse