MARY MANGO

EAST SETAUKET, NY
NPI1043330236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F304256-1)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
-- MARY MANGO ANP
220 N BELLE MEAD RD STE A
EAST SETAUKET, NY 11733-3458
Phone number: 631-941-2273
Mailing Address
-- MARY MANGO ANP
194 POND VIEW LN
SMITHTOWN, NY 11787-5200
Phone number: 631-291-1876