Individual provider · Type 1 NPI

Russell Joseph Mongiovi, DPM

Sports Medicine Podiatrist · Malta, NY

NPI number 1104852136 Active

About NPI 1104852136

Russell Joseph Mongiovi, DPM's National Provider Identifier is 1104852136, issued on Jun 23, 2006. The primary taxonomy on file is Sports Medicine Podiatrist (213ES0000X), and the practice location is in Malta, NY. The record was last updated on Jul 8, 2007.