Individual
CHRISTOPHER MIGNOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 HICKORY ST, FLORAL PARK, NY 11001-3115
(516) 578-6047
Mailing address
45 HICKORY ST, FLORAL PARK, NY 11001-3115
(516) 578-6047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/28/2015
Last updated
03/28/2015
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