Provider Demographics
NPI:1063819639
Name:MONTY MEDICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:MONTY MEDICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BILBOOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-684-9094
Mailing Address - Street 1:509 PLANDOME RD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-1966
Mailing Address - Country:US
Mailing Address - Phone:516-684-9094
Mailing Address - Fax:
Practice Address - Street 1:509 PLANDOME RD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-1966
Practice Address - Country:US
Practice Address - Phone:516-684-9094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA200413-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty