Mongiello, James R

Mongiello, James R is an individual health care provider with primary practice located at 55 Indian Head Rd , Kings Park NY 11754-3704. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mongiello, James R can be contacted via phone (631) 269-4242.

Contact Information

Primary practice address
55 Indian Head Rd Kings Park NY 11754-3704
Phone: (631) 269-4242
Fax: (631) 269-5325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 037581 New York

Profile Details

NPI number 1003839556
LBN Legal business name Mongiello, James R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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