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Montana Len Northcutt, CNIM
Other Specialist/Technologist in Hauppauge, New York
NPI 1164096426

Montana Len Northcutt is a Other Specialist/Technologist based in Hauppauge, NY. Montana Len Northcutt practices in Hauppauge, NY and has the professional credentials of CNIM. The NPI Number for Montana Len Northcutt is 1164096426 and holds a License No. (New York).

The current practice location address for Montana Len Northcutt is 140 Adams Ave, Hauppauge, NY and can be reached out via phone at 631-617-6011.

Location: 140 Adams Ave, Hauppauge, NY, 11788-3618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164096426
Provider Name
Montana Len Northcutt
Credential
CNIM
Provider Entity Type
Individual
Gender
Male
Address
140 Adams Ave, Hauppauge, NY, 11788-3618
Phone Number
631-617-6011
Fax Number
Provider Enumeration Date
05/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
140 Adams Ave
City
Hauppauge
State
New York
Zip
11788-3618
Phone Number
631-617-6011
Fax Number
person
Provider Business Mailing Address Details
Address
140 Adams Ave
City
Hauppauge
State
New York
Zip
11788-3618
Phone Number
631-617-6011
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
(New York)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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