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Organization
NEUROINTERVENTIONAL MEDICINE PLLC
Active
Organization
NEUROINTERVENTIONAL MEDICINE PLLC
Active
Other names
Neurointerventional Medicine PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNDEEP MANGLA MD (OWNER)
(917) 575-7703
Entity
Organization
Contact information
Practice address
6702 3RD AVE, BROOKLYN, NY 11220-5203
(516) 266-6499
(516) 266-6314
Mailing address
8 THOMAS ST APT 3, NEW YORK, NY 10007-1139
(917) 575-7703
(516) 266-6314
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
—
NULL
2085N0700X
Neuroradiology Physician
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
08/22/2023
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