Individual provider · Type 1 NPI
Louise Ann Mongelluzzo, PA-C
Medical Physician Assistant · Baldwinsville, NY
NPI number
1871774182
Active
Practice location
52 Artillery Ln
Baldwinsville, NY 13027-1146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 008973-1 (NY) |
Medical Physician Assistant: Definition to come...
About NPI 1871774182
Louise Ann Mongelluzzo, PA-C's National Provider Identifier is 1871774182, issued on Nov 15, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baldwinsville, NY. The record was last updated on Nov 15, 2007.