Individual
JOSEPH G MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4027
Mailing address
PO BOX 6010, HAUPPAUGE, NY 11788-9010
(631) 232-4000
(631) 851-9225
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
100724
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00345900
—
NY
Enumeration date
06/21/2006
Last updated
01/09/2009
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