Most Relevant Information
Provider Data
| NPI Number: | 1003261827 |
| Provider Name: | JESSICA MONTESANO M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2016 |
| Last Updated: | 11/03/2022 |
Provider Practice Location
1983 MARCUS AVE
NEW HYDE PARK
NY
110422000
Practice Location Phone/Fax
| Phone: | 5164977600 |
| Fax: |
Provider Mailing Location
26 MERTON AVE
LYNBROOK
NY
115633807
Provider Mailing Phone/Fax
| Phone: | 5164622213 |
| Fax: |