Individual
MANGALA PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 RIVERSIDE DR., UTICA, NY 13502
(315) 624-8400
(315) 624-5152
Mailing address
245 OXFORD RD., NEW HARTFORD, NY 13413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226192
NY
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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