ANDRE H MONTAZEM, MD, Oral & Maxillofacial Surgery NEW YORK, NY

Contact Information

ANDRE H MONTAZEM, MD

1 GUSTAVE L LEVY PL
BOX 1187
NEW YORK, NY 10029-6500

Phone: 212-241-0316
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for ANDRE H MONTAZEM · (Male)

NPI #	`1740242437`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	04/06/2006
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	Not specified
Identifiers	NY License # 208721 NY Medicaid 01795293
Hospital affiliation(s)	ELMHURST HOSPITAL CENTER - (Acute Care) 79-01 BROADWAY ELMHURST, NY 11373

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ANDRE H MONTAZEM, MD – NPI #1740242437Oral & Maxillofacial Surgery

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for ANDRE H MONTAZEM · (Male)

Reviews for ANDRE H MONTAZEM

ANDRE H MONTAZEM, MD – NPI #1740242437
Oral & Maxillofacial Surgery