NPI 1104852136 DR. RUSSELL JOSEPH MONGIOVI DPM MALTA NY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Russell Joseph Mongiovi - NPI: 1104852136

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. RUSSELL JOSEPH MONGIOVI
NPI Number: 1104852136
Entity Type Code: Individual (1)
Gender: M
Credentials: DPM
License Number: N004782
Business Practice Address: 3 Hemphill Pl
Malta, NY - 120204419
Business Phone Number: 5188993338
Business Fax Number: 5188995025
Mailing Address: 3 Hemphill Pl,
MALTA
State: NY
Postal Code: 120204420
Phone Number: 5188993338
Fax Number: 5188995025
NPI Enumeration Date: 06/23/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 213ES0000X
License Number: N004782
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NY
Taxonomy Type: Podiatric Medicine & Surgery Service Providers
Taxonomy Classification: Podiatrist
Taxonomy Specialization: Sports Medicine
Taxonomy Definition:


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