Individual
MARK MANGANARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 784-2985
Mailing address
601 ELMWOOD AVE BOX 648, ROCHESTER, NY 14642-8648
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2025-01667
NC
2085R0202X
Diagnostic Radiology Physician
Primary
312934
NY
Other
Enumeration date
06/02/2020
Last updated
07/28/2025
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