Individual
NICHOLAS MOGAVERO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9883
Mailing address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9883
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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