Provider Demographics
NPI:1821831363
Name:MONTANO, CHRISTOPHER ULISES (LMSW)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ULISES
Last Name:MONTANO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 NESCONSET HWY STE 222
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2026
Mailing Address - Country:US
Mailing Address - Phone:631-828-2264
Mailing Address - Fax:
Practice Address - Street 1:5505 NESCONSET HWY STE 222
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2026
Practice Address - Country:US
Practice Address - Phone:631-828-2264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123712104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker