Individual
MR. KEVIN MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 NEW SCOTLAND ROAD, SPEECH PATHOLOGY AND AUDIOLOGY DEPARTMENT, SLINGERLANDS, NY 12159
(518) 475-7073
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001613
NY
231H00000X
Audiologist
4570
MA
Other
Enumeration date
08/29/2006
Last updated
12/11/2018
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