National Provider Identifier
Russell Mongiovi
Russell Mongiovi is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Depew, NY and a listed phone number of (716) 601-7720.
Profile Overview
- NPI
- 1922337674
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 09, 2009
- Last Updated
- December 09, 2009
Practice Location
- 98 Lou Ann Dr
- Depew, NY 14043-1212
Phone: (716) 601-7720
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1922337674
- Entity Type
- Individual
- Last Name
- Mongiovi
- First Name
- Russell
- Mailing Street Address
- 98 Lou Ann Dr
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-1212
- Mailing Country
- US
- Mailing Phone
- (716) 601-7720
- Practice Street Address
- 98 Lou Ann Dr
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-1212
- Practice Country
- US
- Practice Phone
- (716) 601-7720
- Enumeration Date
- December 09, 2009
- Last Updated
- December 09, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)