Doctor Name: | MRS. PAULA CHRISTINE MONTAGNA |
NPI Number: | 1053393140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 002371-1 |
Business Practice Address: | 1333 E Main St Riverhead, NY - 119011524 |
Business Phone Number: | 6317278827 |
Business Fax Number: | |
Mailing Address: | 228 Sunset Ave, WESTHAMPTON BEACH |
State: | NY |
Postal Code: | 119782049 |
Phone Number: | 6312884994 |
Fax Number: | 6312884994 |
NPI Enumeration Date: | 11/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 002371-1 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |