Individual
DEBRA MANGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10021-6007
(212) 639-5242
Mailing address
633 3RD AVE, BOX 3, NEW YORK, NY 10017-6706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203441
NY
Other
Enumeration date
01/29/2006
Last updated
08/11/2009
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