Individual
DR. ADITYA MANGLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8548 112TH ST, RICHMOND HILL, NY 11418-1641
(718) 847-5059
Mailing address
80 MARCUS DR, MELVILLE, NY 11747-4230
(631) 391-7887
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245247-1
NY
207RC0000X
Cardiovascular Disease Physician
245247-1
NY
207RI0011X
Interventional Cardiology Physician
036176216
IL
207RI0011X
Interventional Cardiology Physician
036176216
MO
207RI0011X
Interventional Cardiology Physician
Primary
245247-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03493441
—
NY
Enumeration date
08/27/2007
Last updated
10/21/2025
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