Individual
ANIL KUMAR MANGLARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 E 87TH ST STE 303, NEW YORK, NY 10128-2226
(212) 876-5300
(212) 876-5310
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5800
(631) 396-0865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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