Individual
MRS. ANDREA MONGIELLO-KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 LAUREL RD, EAST NORTHPORT, NY 11731-1100
(631) 659-3337
Mailing address
151 BELLPORT AVE, MEDFORD, NY 11763-2230
(631) 741-9955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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