Nicole M Mongeon, PA

NPI #1003444761 in Syracuse, New York

Provider Information

NPI Number: 1003444761
Entity Type: Individual
Name: Nicole M Mongeon, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 30, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 750 EAST ADAMS ST
City: Syracuse
State: New York
ZIP Code: 13210
Phone: (315) 464-4363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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