Individual
DR. MANGALORE AMITH SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 STATION PLZ N STE 400, MINEOLA, NY 11501-3893
(516) 663-8952
Mailing address
222 STATION PLZ N STE 400, MINEOLA, NY 11501-3893
(516) 663-8952
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
288815-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2011
Last updated
07/21/2022
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