Individual
AMANDA MONGOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
652 BROADWAY, NEW YORK, NY 10012-2316
(646) 847-1635
(646) 805-1316
Mailing address
31 E 32ND ST, 4TH FLOOR, NEW YORK, NY 10016-6575
(212) 759-2282
(212) 379-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049016
NY
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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