Vicki C Monticello in Johnson City - Family

Vicki C Monticello - NPI 1114084928

Vicki C Monticello is a Family in Johnson City, New York. Vicki C Monticello practices all healthcare services and medical treatments related to Family. The NPI Number for Vicki C Monticello is 1114084928. The last update date is 2010-03-08.

Vicki C Monticello's current location address is 58 Lusk St, Johnson City, New York. You can contact this provider via phone number 6077636293 and fax number 6077636717. The mailing address for Vicki C Monticello is 58 Lusk St, Johnson City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Vicki C Monticello
Address 58 Lusk St, Johnson City, New York
Phone Number 6077636293
Fax Number 6077636717
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1114084928
Provider Enumeration Date 2007-01-02
Last Updated Date 2010-03-08

Provider Mailing Address Detail

Address 58 Lusk St
City Johnson City
State New York (NY)
Post Code 137902541
Phone Number 6077636293
Fax Number 6077636717

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 333082
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2091876 NY --

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FAQs about Vicki C Monticello

What is the unique 10-digit identifier code issued to Vicki C Monticello by the Centers for Medicare & Medicaid Services?

The Vicki C Monticello has been assigned the NPI (National Provider Identifier) 1114084928 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Vicki C Monticello located?

The Vicki C Monticello is located at 58 Lusk St, Johnson City, NY 137902541.

What is Vicki C Monticello's specialized field of practice, and what is the corresponding taxonomy classification code?

The Vicki C Monticello's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114084928 to Vicki C Monticello?

The Centers for Medicare & Medicaid Services originally issued the 1114084928 to Vicki C Monticello on 2007-01-02.

When was the information related to Vicki C Monticello most recently updated or refreshed?

The details pertaining to the Vicki C Monticello, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-03-08.

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