Provider Demographics
NPI:1508220591
Name:MONTALTO, DELIA (MD)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:
Last Name:MONTALTO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:125 KENNEDY DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-4017
Mailing Address - Country:US
Mailing Address - Phone:855-295-4144
Mailing Address - Fax:631-257-5098
Practice Address - Street 1:153 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-2503
Practice Address - Country:US
Practice Address - Phone:855-295-4144
Practice Address - Fax:631-257-5098
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2021-03-23
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Provider Licenses
StateLicense IDTaxonomies
NY304518207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology