Individual
KIMBERLY MANGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 W 168TH ST, 12TH FLOOR, NEW YORK, NY 10032-3726
(212) 305-9758
Mailing address
274 MADISON AVE, RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
(646) 665-4427
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
275796
NY
Other
Enumeration date
04/27/2011
Last updated
04/01/2022
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