National Provider Identifier
Carolyn A Montgomery, NP
Carolyn A Montgomery, NP is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 893-1010.
Profile Overview
- NPI
- 1720053416
- Provider Type
- Individual
- Primary Specialty
- Gerontology Nurse Practitioner
- Enumeration Date
- February 17, 2006
- Last Updated
- April 26, 2022
Practice Location
- 40 La Riviere Dr Ste 201
- Buffalo, NY 14202-4344
Phone: (716) 893-1010
Specialties
- Gerontology Nurse Practitioner (363LG0600X)
Full Record
- NPI
- 1720053416
- Entity Type
- Individual
- Last Name
- Montgomery
- First Name
- Carolyn
- Middle Name
- A
- Credential
- NP
- Mailing Street Address
- 40 La Riviere Dr Ste 201
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-4344
- Mailing Country
- US
- Mailing Phone
- (716) 893-1010
- Mailing Fax
- (716) 893-1002
- Practice Street Address
- 40 La Riviere Dr Ste 201
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-4344
- Practice Country
- US
- Practice Phone
- (716) 893-1010
- Practice Fax
- (716) 893-1002
- Enumeration Date
- February 17, 2006
- Last Updated
- April 26, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gerontology Nurse Practitioner (363LG0600X)