NPI 1093963399

Mary Jude Mogavero

Practitioner Contractor Orchard Park, NY

Practice location

Address: 15 Birdsong Pkwy, Orchard Park, NY 14127-3069
Phone: (716) 445-1073

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1093963399
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2008
Record last updated: 29 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.