Individual
DR. SUNDEEP MANGLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6702 3RD AVE, BROOKLYN, NY 11220-5203
(516) 266-6499
(516) 266-6314
Mailing address
8 THOMAS ST APT 3, NEW YORK, NY 10007-1139
(917) 575-7703
(516) 266-6314
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
219126
NY
2085R0202X
Diagnostic Radiology Physician
219126-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02086102
—
NY
Enumeration date
12/20/2005
Last updated
08/22/2023
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