Provider Demographics
NPI:1033354964
Name:MARKOU, MONTSERRAT (LAC, LMT)
Entity Type:Individual
Prefix:
First Name:MONTSERRAT
Middle Name:
Last Name:MARKOU
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:MONTSERRAT
Other - Middle Name:
Other - Last Name:MARKOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC, LMT
Mailing Address - Street 1:50 N 5TH ST APT E6H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-3314
Mailing Address - Country:US
Mailing Address - Phone:929-224-6514
Mailing Address - Fax:
Practice Address - Street 1:111 N 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249
Practice Address - Country:US
Practice Address - Phone:929-224-6514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25 003479171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist