Individual
DR. BRIAN MIGNOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1776 RICHMOND RD, STATEN ISLAND, NY 10306-2578
(718) 816-9056
Mailing address
1776 RICHMOND RD, STATEN ISLAND, NY 10306-2578
(718) 816-9056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214353
NY
Other
Enumeration date
09/13/2005
Last updated
04/11/2013
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