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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS MOGAVERO JR.

Active Sole Proprietor

NICHOLAS MOGAVERO JR. is a Community Health Worker healthcare provider located in KENMORE, New York. NPI 1184172751 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · KENMORE, NY

Registration Details

NPI Number
1184172751
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2016 (9.9658553971848 yrs)
Last Updated
Sep 13, 2016
Sole Proprietor
Yes

Practice Information

Address
2900 DELAWARE AVE
KENMORE, NY, 142172309
Browse NY providers · Browse ZIP 14217
Phone
7168719883
Primary Specialty
Community Health Worker
172V00000X
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.