Mongiovi, Russell Joseph

Mongiovi, Russell Joseph is an individual health care provider with primary practice located at 3 Hemphill Pl , Malta NY 12020-4419. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Sports Medicine, which is considered as his primary health care specialty. Mongiovi, Russell Joseph can be contacted via phone (518) 899-3338.

Contact Information

Primary practice address
3 Hemphill Pl Malta NY 12020-4419
Phone: (518) 899-3338
Fax: (518) 899-5025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X N004782 New York

Profile Details

NPI number 1104852136
LBN Legal business name Mongiovi, Russell Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers