Dr. Russell Joseph Mongiovi
Sports Medicine
3 Hemphill Pl
Malta
, New York 12020-4419
Dr. Russell Joseph Mongiovi
Sports Medicine
3 Hemphill Pl
Malta
, New York 12020-4419
(518) 899-5025
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Russell Joseph Mongiovi
- 3 Hemphill Pl
- Malta, NY
- Zip : 12020-4420
- Fax : (518) 899-5025
- Phone : (518) 899-3338
Second Address
- Dr. Russell Joseph Mongiovi
- 3 Hemphill Pl
- Malta, NY
- Zip : 12020-4419
- Fax : (518) 899-5025
- Phone : (518) 899-3338
Reviews
FAQs
Where did Dr. Russell Joseph Mongiovi attend graduate school?
Where did Dr. Russell Joseph Mongiovi do his residency?
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What type of doctor is Dr. Russell Joseph Mongiovi
In what state does Dr. Russell Joseph Mongiovi practice in?
Where is Dr. Russell Joseph Mongiovi ’s practice located?
What is Dr. Russell Joseph Mongiovi ’s gender?
Is Dr. Russell Joseph Mongiovi a sole practitioner?
Is Dr. Russell Joseph Mongiovi accepting new patients?
What languages does Dr. Russell Joseph Mongiovi speak?
Does Dr. Russell Joseph Mongiovi accept insurance?
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Does Dr. Russell Joseph Mongiovi have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | N004782 | NY |
| Y | 213ES0000X | Sports Medicine | N004782 | NY |
National Provider Identifier
| NPI | 1104852136 |
|---|---|
| Provider Name | Dr. Russell Joseph Mongiovi |
| First Address | Malta, NY 12020-4420 |
| Second Address | Malta, NY 12020-4419 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U19121 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.