Provider Demographics
NPI:1316197403
Name:MONTUORI, WINIFRED ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WINIFRED
Middle Name:ANNE
Last Name:MONTUORI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 1ST AVE
Mailing Address - Street 2:APT 12G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2611
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:250 1ST AVE
Practice Address - Street 2:APT 12G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-2611
Practice Address - Country:US
Practice Address - Phone:212-420-1638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036580-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist