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General NPI Number Information
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NPI Number | 1225073869
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Entity Type | Organization
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Legal Business Name | MIGNONE MEDICAL EYE CARE, P.C.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 955 YONKERS AVE SUITE 100
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City | YONKERS
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State | NY
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Zip | 10704-3060
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Country | US
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Telephone | 914-237-2002
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Fax | 914-237-3002
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Provider Business Mailing Address
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Address Line | 955 YONKERS AVE SUITE 105
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City | YONKERS
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State | NY
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Zip | 10704-3060
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Country | US
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Telephone | 914-237-2002
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Fax | 914-237-3002
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Authorized Official
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Title or Position | PRESIDENT
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Name | BIAGIO V. MIGNONE
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Credential | M.D.
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Telephone | 914-664-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 127335
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License Number State | NY
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