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Individual

PHILLIP C MONGIOVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-2222
Mailing address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-4568

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
292569
NY
2084N0400X
Neurology Physician
292569
NY

Other

Enumeration date
04/02/2014
Last updated
04/28/2023
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