Individual provider · NPI-1

Jean H Monfort

Radiologic Technologist · Bronx, NY

NPI number1114475308
StatusActive
Last updated in NPPESSep 15, 2016

Details

NPI
1114475308
Entity type
Individual (NPI-1)
Name
Jean H Monfort
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 15, 2016
Last updated
Sep 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247100000X Radiologic Technologist653696NYYes

Practice location

1065 Southern Blvd
Bronx, NY 10459-2417

Phone 917-353-1257

Mailing address

1065 Southern Blvd
Bronx, NY 10459-2417

Phone 917-353-1257

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