Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL JOSEPH MONGIOVI, DPM
ActiveDR. RUSSELL JOSEPH MONGIOVI, DPM is a Sports Medicine Podiatrist healthcare provider located in MALTA, New York. NPI 1104852136 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine Podiatrist · MALTA, NY
Registration Details
- NPI Number
- 1104852136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2006 (19.960131882401 yrs)
- Last Updated
- Jul 8, 2007
- License
-
N004782 (NY)
Practice Information
- Address
-
3 HEMPHILL PLMALTA, NY, 120204419Browse NY providers · Browse ZIP 12020
- Phone
- 5188993338
- Fax
- 5188995025
- Primary Specialty
-
Sports Medicine Podiatrist
213ES0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.