Individual
MR. BENNY V MANGALATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BPHARM
Contact information
Practice address
437 MAIN ST, ISLIP, NY 11751-3536
(631) 581-8077
(631) 581-7975
Mailing address
437 MAIN ST, ISLIP, NY 11751-3536
(631) 581-8077
(631) 581-7975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0441941
NY
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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