person
Dr. Russell Joseph Mongiovi, DPM
Sports Medicine Podiatrist in Malta, New York
NPI 1104852136

Russell Joseph Mongiovi is a Sports Medicine Podiatrist based in Malta, NY and is specialized in Sports Medicine. Russell Joseph Mongiovi practices in Malta, NY and has the professional credentials of DPM. The NPI Number for Russell Joseph Mongiovi is 1104852136 and holds a License No. N004782 (New York).

The current practice location address for Russell Joseph Mongiovi is 3 Hemphill Pl, Malta, NY and can be reached out via phone at 518-899-3338 and via fax at 518-899-5025.

Location: 3 Hemphill Pl, Malta, NY, 12020-4420
person
Provider Profile Details
NPI Number
1104852136
Provider Name
Russell Joseph Mongiovi
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3 Hemphill Pl, Malta, NY, 12020-4420
Phone Number
518-899-3338
Fax Number
518-899-5025
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3 Hemphill Pl
City
State
Zip
12020-4419
Phone Number
518-899-3338
Fax Number
518-899-5025
person
Provider Business Mailing Address Details
Address
3 Hemphill Pl
City
State
Zip
12020-4419
Phone Number
518-899-3338
Fax Number
518-899-5025
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
N004782 (New York)
Definition
Definition to come...
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