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Individual

MS. ZORIANA N. MANGIONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16 MILLER RD, BALLSTON LAKE, NY 12019-1004
(518) 899-2374
(518) 899-2374
Mailing address
16 MILLER RD, BALLSTON LAKE, NY 12019-1004
(518) 899-2374
(518) 899-2374

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5267
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01981231
NY
Enumeration date
11/29/2006
Last updated
11/07/2011
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