Individual
DR. VICTORIA LEE MANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-0226
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
248233
NY
Other
Enumeration date
06/15/2007
Last updated
06/24/2016
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