| Spa Podiatry, Pc | |
|
3 Hemphill Pl Ste 111, Malta, NY 12020-4420 | |
| (518) 899-3338 | |
| Not Available |
| Full Name | Spa Podiatry, Pc |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104852136 PECOS PAC ID: 6709956899 Enrollment ID: I20080602000217 |
| Provider Name | Joyce M Senick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710922554 PECOS PAC ID: 4981774072 Enrollment ID: I20080602000225 |
| Mailing Address | Practice Location Address |
|---|---|
| Spa Podiatry, Pc 3 Hemphill Pl Ste 111, Malta, NY 12020-4420 Ph: (518) 899-3338 | Spa Podiatry, Pc 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 |