Provider Demographics
NPI:1841184694
Name:MONTEGUT, LEAH (CLSC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:MONTEGUT
Suffix:
Gender:F
Credentials:CLSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3921
Mailing Address - Country:US
Mailing Address - Phone:917-660-0549
Mailing Address - Fax:
Practice Address - Street 1:415 E 4TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3921
Practice Address - Country:US
Practice Address - Phone:917-660-0549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN