National Provider Identifier
Mignon Avendano Enecilla, MD
Mignon Avendano Enecilla, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Geneva, NY and a listed phone number of (315) 787-5200.
Profile Overview
- NPI
- 1538367263
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 03, 2007
- Last Updated
- June 19, 2025
Practice Location
- 200 North St Ste 101
- Geneva, NY 14456-1561
Phone: (315) 787-5200
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Medicine Physician (207Q00000X)
- Geriatric Medicine (Family Medicine) Physician (207QG0300X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- menecilla269581@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1538367263
- Entity Type
- Individual
- Last Name
- Enecilla
- First Name
- Mignon
- Middle Name
- Avendano
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 200 North St Ste 101
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1561
- Practice Country
- US
- Practice Phone
- (315) 787-5200
- Enumeration Date
- July 03, 2007
- Last Updated
- June 19, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 19, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Geriatric Medicine (Family Medicine) Physician (207QG0300X), Medical Physician Assistant (363AM0700X)