DR. Russell Joseph Mongiovi, DPM

NPI #1104852136 in Malta, New York

Provider Information

NPI Number: 1104852136
Entity Type: Individual
Name: DR. Russell Joseph Mongiovi, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist - Sports Medicine
Credential: DPM
Enumeration Date: Jun 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3 HEMPHILL PL
City: Malta
State: New York
ZIP Code: 12020-4419
Phone: (518) 899-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Sports Medicine — Sports Medicine	213ES0000X	Primary

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