Most Relevant Information
Provider Data
| NPI Number: | 1003389990 |
| Provider Name: | JAQUALA MONTALVO |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/03/2019 |
| Last Updated: | 01/03/2019 |
Provider Practice Location
40 MONTGOMERY ST
NEW YORK
NY
100024808
Practice Location Phone/Fax
| Phone: | 2127669200 |
| Fax: |
Provider Mailing Location
40 MONTGOMERY ST
NEW YORK
NY
100024808
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |