| Doctor Name: | MRS. SUSAN LUCIA MONTALBANO |
| NPI Number: | 1093929820 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, CASAC |
| License Number: | 003745 |
| Business Practice Address: | 514 Larkfield Rd Suite 4a East Northport, NY - 117314211 |
| Business Phone Number: | 6313680354 |
| Business Fax Number: | |
| Mailing Address: | 8 Rodsfield Ct, HUNTINGTON |
| State: | NY |
| Postal Code: | 117435913 |
| Phone Number: | 6314863708 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 003745 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |