Individual
SARAH JANE MANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 CENTRAL PARK S APT 1P, NEW YORK, NY 10019-1429
(212) 535-5350
Mailing address
240 CENTRAL PARK S APT 1P, NEW YORK, NY 10019-1429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
809421
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421510
NY
Other
Enumeration date
09/10/2021
Last updated
09/23/2021
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