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Individual

DONNE MANGATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2075 BARTOW AVE, BRONX, NY 10475-4613
(718) 320-0049
(718) 320-4809
Mailing address
118 CRISFIELD ST, # 3, YONKERS, NY 10710-1225
(914) 274-8388

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006863-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0109445
GHI
NY
Enumeration date
11/14/2006
Last updated
07/08/2007
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