Montellese, Daniel R.
Montellese, Daniel R. is an individual health care provider with primary practice located at 1320 Stony Brook Rd Ste 100 , Stony Brook NY 11790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Montellese, Daniel R. can be contacted via phone (631) 941-2273.Contact Information
Primary practice address
1320 Stony Brook Rd Ste 100
Stony Brook NY 11790
Phone: (631) 941-2273
Fax: (631) 941-2501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 241554 | New York |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 241554-1 | New York |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 241554 | New York |
Profile Details
| NPI number | 1770679557 |
|---|---|
| LBN Legal business name | Montellese, Daniel R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Oct 11th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770679557 | NPPES |
| New York | MEDICAID | 03427332 |
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