Provider Demographics
NPI:1518046457
Name:MONTELEONE, DONALD P (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:P
Last Name:MONTELEONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301
Mailing Address - Country:US
Mailing Address - Phone:716-283-7979
Mailing Address - Fax:716-283-1336
Practice Address - Street 1:820 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301
Practice Address - Country:US
Practice Address - Phone:716-283-7979
Practice Address - Fax:716-283-1336
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007082111N00000X
NYX007082-3111N00000X
NYX007082-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU-50008Medicare UPIN
NYDD1042Medicare ID - Type UnspecifiedWILSON OFFICE (SOLE PROPR
NYCC7293Medicare PIN
NYAA0939Medicare ID - Type UnspecifiedGROUP# NIAGARA FALLS
NYAA1161Medicare ID - Type UnspecifiedGROUP#-WILSON