Malta Foot Specialists | |
3 Hemphill Pl Ste 111, Malta, NY 12020-4420 | |
(518) 899-3338 | |
Not Available |
Full Name | Malta Foot Specialists |
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Type | Facility |
Speciality | Podiatrist |
Location | 3 Hemphill Pl Ste 111, Malta, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932371374 | NPI | - | NPPES |
RB8170 | Other | NY | RUSSELL J MONGIOVI, DPM |
RB8171 | Other | NY | JOYCE M SENICK, DPM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | N004782 (New York) | Primary |
Provider Name | Russell J Mongiovi |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1104852136 PECOS PAC ID: 6709956899 Enrollment ID: I20080602000217 |
Provider Name | Joyce M Senick |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710922554 PECOS PAC ID: 4981774072 Enrollment ID: I20080602000225 |
Mailing Address | Practice Location Address |
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Malta Foot Specialists 3 Hemphill Pl Ste 111, Malta, NY 12020-4420 Ph: (518) 899-3338 | Malta Foot Specialists 3 Hemphill Pl Ste 111, Malta, NY 12020-4420 Ph: (518) 899-3338 |
Dr. Russell Joseph Mongiovi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3 Hemphill Pl, Malta, NY 12020 Phone: 518-899-3338 Fax: 518-899-5025 | |
Dr. Joyce Marie Senick, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3 Hemphill Pl, Malta, NY 12020 Phone: 518-899-3338 Fax: 518-899-5025 |