Individual
RICHARD MONGIARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 LORETTA DR, SYOSSET, NY 11791-5817
(516) 428-9069
Mailing address
20 LORETTA DR, SYOSSET, NY 11791-5817
(516) 428-9069
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NY
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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