| Doctor Name: | DR. MONTE LANE ELGARTEN |
| NPI Number: | 1396917100 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 156066 |
| Business Practice Address: | 5 Hatfield Ln Suite 1a Goshen, NY - 109246755 |
| Business Phone Number: | 8457903371 |
| Business Fax Number: | 8457901109 |
| Mailing Address: | 52 Horizon Farms Dr, WARWICK |
| State: | NY |
| Postal Code: | 109902260 |
| Phone Number: | 8457903371 |
| Fax Number: | 8457901109 |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 04/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 156066 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |