Individual
DR. DANIEL MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 RIDGE RD, BAKER VICTORY SERVICES, D. MANGOLD, M.D., LACKAWANNA, NY 14218-1629
(716) 828-9313
Mailing address
144 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6731
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
144325
NY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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