Organization
MALTA FOOT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL JOSEPH MONGIOVI DPM (SECRETARY)
(518) 899-3338
Entity
Organization
Contact information
Practice address
3 HEMPHILL PL STE 111, BALLSTON SPA, NY 12020-4420
(518) 899-3338
(518) 899-5025
Mailing address
3 HEMPHILL PL STE 111, BALLSTON SPA, NY 12020-4420
(518) 899-3338
(518) 899-5025
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
04/16/2008
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