Individual
MS. JOAN G. MOGIL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
643 BROADWAY, MASSAPEQUA, NY 11758-5032
(516) 798-1066
(516) 798-7351
Mailing address
643 BROADWAY, MASSAPEQUA, NY 11758-5032
(516) 798-1066
(516) 798-7351
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
F301934-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01759604
—
NY
Enumeration date
06/03/2006
Last updated
07/08/2007
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