NPI Provider: 1720275175
Contact Name: Friedman Addis Stuart
Position: President
Phone: (718) 852-1149
Shades Of Montague Information:
Shades Of Montague organization have npi 1720275175, taxonomy code is 152WC0802X with license number is 3978 in . This Business address located in 132 Montague St, Brooklyn, NY 11201 New York.
Practice Location
Address: 132 Montague St, Brooklyn, NY 11201
Phone: (718) 852-1149
Business Location
Address: 132 Montague St, Brooklyn, NY 11201
Phone: (718) 852-1149
Fax: (718) 522-4379
Taxonomy
Taxonomy Code: 152WC0802X
License Number: 3978
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 10/1/2007
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