IndividualActive
Carolyn Montgomery, NP
NPI 1720053416 · Gerontology Nurse Practitioner · Buffalo, NY
Provider details
- NPI number
- 1720053416
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- F340627 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Phone: (716) 893-1010
Fax: (716) 893-1002
Approximate (ZIP-level) locationGet directions
Mailing address
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2022-04-26
- Certified
- 2022-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.