Individual
MS. ANDREA MANGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
430 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-8910
Mailing address
2320 23RD ST, APT 1, ASTORIA, NY 11105-3408
(646) 872-0060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018818
NY
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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