Provider Demographics
NPI:1205038452
Name:MOGIL, IRENE (DO)
Entity Type:Individual
Prefix:DR
First Name:IRENE
Middle Name:
Last Name:MOGIL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:55 SPINDRIFT DRIVE
Mailing Address - Street 2:WINDSONG RADIOLOGY GROUP, P.C.
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7800
Mailing Address - Country:US
Mailing Address - Phone:312-401-9086
Mailing Address - Fax:716-631-1249
Practice Address - Street 1:55 SPINDRIFT DRIVE
Practice Address - Street 2:WINDSONG RADIOLOGY GROUP, P.C.
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7800
Practice Address - Country:US
Practice Address - Phone:312-401-9086
Practice Address - Fax:716-631-1249
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2014-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI51010164542085R0202X
NY2606842085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology