Individual
DR. MICHAEL T. MONGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
100 W. 67 ST., SUITE # 2NE, NEW YORK, NY 10023
(212) 799-0001
Mailing address
100 W. 67 ST., SUITE # 2NE, NEW YORK, NY 10023
(212) 799-0001
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
000675
NY
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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