Montana Len Northcutt, CNIM

NPI #1164096426 in Hauppauge, New York

Provider Information

NPI Number
1164096426
Entity Type
Individual
Name
Montana Len Northcutt, CNIM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other
Credential
CNIM
Enumeration Date
May 19, 2021
Last Updated
May 19, 2021

Practice Location

Address
140 ADAMS AVE
ZIP Code
11788-3618
Phone
(631) 617-6011

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other

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