Provider Demographics
NPI:1780611228
Name:MONTAGNINO, VINCENT JOSEPH (RPA)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:JOSEPH
Last Name:MONTAGNINO
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Gender:M
Credentials:RPA
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Mailing Address - Street 1:427 GUY PARK AVE - PRIMARY & SPECIALTY CARE DEPT.
Mailing Address - Street 2:ST. MARY'S HOSPITAL AT AMSTERDAM
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010
Mailing Address - Country:US
Mailing Address - Phone:518-841-7430
Mailing Address - Fax:518-841-7121
Practice Address - Street 1:84 E. STATE ST
Practice Address - Street 2:ST. MARY'S HOSPITAL, GLOVERSVILLE FAMILY HEALTH CENTER
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078
Practice Address - Country:US
Practice Address - Phone:518-773-8894
Practice Address - Fax:518-773-8125
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2010-09-02
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Provider Licenses
StateLicense IDTaxonomies
NY001484363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical