MICHAEL WILLIAM MANGINO

SELDEN, NY
NPI1760815252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  400716)
Enumeration Date2013-08-20
Last Update Date2013-08-20
Business Address
Mr. MICHAEL WILLIAM MANGINO NP-P
533 COLLEGE RD RIVERHEAD BUILDING
SELDEN, NY 11784-2851
Phone number: 631-473-2453
Mailing Address
Mr. MICHAEL WILLIAM MANGINO NP-P
533 COLLEGE RD RIVERHEAD BUILDING
SELDEN, NY 11784-2851
Phone number: 631-473-2453
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