Individual
MAYA MANGUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 STANTON AVE, NORTH BALDWIN, NY 11510-1731
(516) 660-4151
Mailing address
634 STANTON AVE, NORTH BALDWIN, NY 11510-1731
(516) 660-4151
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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