Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIGNON AVENDANO ENECILLA, MD
ActiveMIGNON AVENDANO ENECILLA, MD is a Family Medicine healthcare provider located in GENEVA, New York. NPI 1538367263 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GENEVA, NY
Registration Details
- NPI Number
- 1538367263
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2007 (19.154989188368 yrs)
- Last Updated
- Jun 19, 2025
- Licenses
-
243069 (NY)243069 (NY)243069 (NY)
Practice Information
- Address
-
200 NORTH ST STE 101GENEVA, NY, 144561561Browse NY providers · Browse ZIP 14456
- Phone
- 3157875200
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in GENEVA, NY
| Name | Credential | NPI |
|---|---|---|
| LAUREL A DALLMEYER | MD | 1619919206 |
| DR. EDWARD JOSEPH ZGLESZEWSKI | M.D. | 1720092778 |
| JENNIFER MUNGARI | M.D. | 1538212436 |
| TIMOTHY GERARD MALIA | M.D. | 1376681056 |
| DR. DAVID MANE | MD | 1992997084 |
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.