Individual
MR. ANTHONY MONGELLI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3911 RICHMOND AVE, STATEN ISLAND, NY 10312-5110
(917) 200-5749
Mailing address
3911 RICHMOND AVE, STATEN ISLAND, NY 10312-5110
(917) 200-5749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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