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1700137312
MANGIE LY
NEW YORK, NY
NPI
1700137312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013817)
Enumeration Date
2012-09-21
Last Update Date
2012-09-21
Business Address
-- MANGIE LY P.A.
275 7TH AVE
NEW YORK, NY 10001-6708
Phone number: 646-660-9999
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Mailing Address
-- MANGIE LY P.A.
65 CAMBRIA RD
SYOSSET, NY 11791-6519
Phone number: 917-945-7888
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