Individual
PAUL MARIO MIGNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 STEVENS AVE, MOUNT VERNON, NY 10550-2534
(914) 664-6001
Mailing address
202 STEVENS AVE, MOUNT VERNON, NY 10550-2534
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
249133
NY
Other
Enumeration date
08/20/2008
Last updated
08/19/2011
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