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Contact Information

MIGNON A ENECILLA, MD
200 NORTH ST STE 101
GENEVA, NY14456-1561
 Phone: 315-787-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MIGNON A ENECILLA · (Female)

NPI Number 1538367263
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2007
Last updated 06/19/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 243069
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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