Provider Demographics
NPI:1558031310
Name:MONTALVO, FRANCES (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:MONTALVO
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 31ST AVE APT 4D
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4844
Mailing Address - Country:US
Mailing Address - Phone:917-547-9109
Mailing Address - Fax:
Practice Address - Street 1:41 UNION SQ W STE 912
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3255
Practice Address - Country:US
Practice Address - Phone:347-921-3959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021059-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist