Organization
CENTRAL NEW YORK RETINAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MANGO (MD)
(315) 952-6760
Entity
Organization
Contact information
Practice address
1101 ERIE BLVD E, SUITE 210, SYRACUSE, NY 13210-1148
(315) 952-6760
Mailing address
1101 ERIE BLVD E, SUITE 210, SYRACUSE, NY 13210-1148
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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