National Provider Identifier
Mary Jude Mogavero
Mary Jude Mogavero is listed in the NPPES registry with a primary specialty of Contractor in Orchard Park, NY and a listed phone number of (716) 445-1073.
Profile Overview
- NPI
- 1093963399
- Provider Type
- Individual
- Primary Specialty
- Contractor
- Enumeration Date
- August 29, 2008
- Last Updated
- August 29, 2008
Practice Location
- 15 Birdsong Pkwy
- Orchard Park, NY 14127-3069
Phone: (716) 445-1073
Specialties
- Contractor (171W00000X)
Full Record
- NPI
- 1093963399
- Entity Type
- Individual
- Last Name
- Mogavero
- First Name
- Mary
- Middle Name
- Jude
- Name Prefix
- Mrs.
- Mailing Street Address
- 15 Birdsong Pkwy
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-3069
- Mailing Country
- US
- Practice Street Address
- 15 Birdsong Pkwy
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-3069
- Practice Country
- US
- Practice Phone
- (716) 445-1073
- Enumeration Date
- August 29, 2008
- Last Updated
- August 29, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Contractor (171W00000X)