Mongelli, Guy

Mongelli, Guy is an individual health care provider with primary practice located at 355 Bard Ave , Staten Island NY 10310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mongelli, Guy can be contacted via phone (718) 818-1234.

Contact Information

Primary practice address
355 Bard Ave Staten Island NY 10310
Phone: (718) 818-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 169932 New York

Profile Details

NPI number 1861463085
LBN Legal business name Mongelli, Guy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861463085 NPPES
New York MEDICAID 01064740

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