SPA PODIATRY, PC
Podiatry at Hemphill Pl, Ballston Spa, NY

License number
New York N004782
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. RUSSELL JOSEPH MONGIOVI DPM
Title: SECRETARY/PARTNER
Phone: (518) 899-3338
Address
Address
3 Hemphill Pl STE 111, Ballston Spa, NY 12020
National Provider ID: 1932371374
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SPA PODIATRY, PC

3 Hemphill Pl #111, Ballston Spa, NY 12020

Industry:
Physical Fitness Facility
Registration:
Dec 21, 2007
State ID:
3608411
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Partner, Principal, Secretarys:
Dpm Joyce M. Senick, 3 Hemphill Pl #111, Ballston Spa, NY 12020 (Physical),Russell J. Mongiovi (Partner, Principal, Secretary)
Agent:
Maynard, O'connor, Smith & Catalinotto, Llp,6 Tower Pl, Albany, NY 12203 (Physical)

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