Individual
DR. DOMENICO MIGNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
955 YONKERS AVE, SUITE 11, YONKERS, NY 10704-3060
(914) 776-2778
(914) 776-1274
Mailing address
955 YONKERS AVE, SUITE 11, YONKERS, NY 10704-3060
(914) 776-2778
(914) 776-1274
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
172714
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01130267
—
NY
Enumeration date
03/29/2007
Last updated
07/08/2007
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