Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Montana Len Northcutt, CNIM

Individual provider Other Specialist/Technologist · NPI 1164096426

Montana Len Northcutt, CNIM is an Other Specialist/Technologist in Hauppauge, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

140 Adams Ave
Hauppauge, NY 11788-3618
Phone: (631) 617-6011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X (NY)

Record details

NPI number1164096426
Entity typeIndividual (Type 1)
GenderMale
Credentials CNIM
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

Other providers in Hauppauge