Individual
DR. ANTHONY R MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9521 MALLORY RD, NEW HARTFORD, NY 13413-3819
(716) 725-5140
(315) 922-7012
Mailing address
9521 MALLORY RD, NEW HARTFORD, NY 13413-3819
(716) 725-5140
(317) 922-7012
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
226173
NY
2085R0202X
Diagnostic Radiology Physician
MD417331
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026269101
UNIVERA
—
01
—
00026269103
UNIVERA
—
01
—
000527299001
BLUE SHIELD WNY
—
01
—
000527299005
BLUE SHIELD WNY
—
01
—
0140611
GHI
—
05
—
02389215
—
NY
01
—
040426003192
FIDELIS
—
01
—
1611616
INDEPENDENT HEALTH
—
01
—
197608FF
PREFERRED CARE
—
01
—
2261733W
WORKERS COMPENSATION
NY
01
—
4105275
GHI
—
01
—
BM7996599
DEA
—
01
—
P00029523
RR MEDICARE
—
01
—
P00131609
RR MEDICARE
—
01
—
P010226172
BLUE CHOICE
—
01
—
P020226173
BLUE SHIED ROCHESTER
—
Enumeration date
04/25/2006
Last updated
03/20/2026
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