Provider Demographics
NPI:1033380563
Name:FRANK A. MONTELEONE, M.D.,P.C.
Entity Type:Organization
Organization Name:FRANK A. MONTELEONE, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONTELEONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-741-3560
Mailing Address - Street 1:173 MINEOLA BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501
Mailing Address - Country:US
Mailing Address - Phone:516-741-3560
Mailing Address - Fax:516-741-3562
Practice Address - Street 1:173 MINEOLA BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2528
Practice Address - Country:US
Practice Address - Phone:516-741-3560
Practice Address - Fax:516-741-3562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY329971OtherMEDICARE ID NUMBER