Individual
MICHAEL MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1301 E COLVIN ST, SYRACUSE, NY 13244-4403
(315) 443-2085
Mailing address
1301 E COLVIN ST, SYRACUSE, NY 13244-4403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002896
NY
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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