National Provider Identifier
Nicholas Mogavero Jr.
Nicholas Mogavero Jr. is listed in the NPPES registry with a primary specialty of Community Health Worker in Kenmore, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1184172751
- Provider Type
- Individual
- Primary Specialty
- Community Health Worker
- Enumeration Date
- September 13, 2016
- Last Updated
- September 13, 2016
Practice Location
- 2900 Delaware Ave
- Kenmore, NY 14217-2309
Phone: (716) 871-9883
Specialties
- Community Health Worker (172V00000X)
Full Record
- NPI
- 1184172751
- Entity Type
- Individual
- Last Name
- Mogavero
- First Name
- Nicholas
- Name Suffix
- Jr.
- Mailing Street Address
- 2900 Delaware Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2309
- Mailing Country
- US
- Mailing Phone
- (716) 871-9883
- Practice Street Address
- 2900 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2309
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Enumeration Date
- September 13, 2016
- Last Updated
- September 13, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community Health Worker (172V00000X)