Nicholas Mogavero JR.

NPI #1184172751 in Kenmore, New York

Provider Information

NPI Number: 1184172751
Entity Type: Individual
Name: Nicholas Mogavero JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Sep 13, 2016
Last Updated: Sep 13, 2016

Practice Location

Address: 2900 DELAWARE AVE
City: Kenmore
State: New York
ZIP Code: 14217-2309
Phone: (716) 871-9883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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