Mongiovi, Russell

Mongiovi, Russell is an individual health care provider with primary practice located at 98 Lou Ann Dr , Depew NY 14043-1212. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Mongiovi, Russell can be contacted via phone (716) 601-7720.

Contact Information

Primary practice address
98 Lou Ann Dr Depew NY 14043-1212
Phone: (716) 601-7720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 284056-1 New York

Profile Details

NPI number 1922337674
LBN Legal business name Mongiovi, Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2009
Last updated Dec 9th, 2009 - about 17 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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