Individual
CAROL MANGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.
Contact information
Practice address
616 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7317
(631) 271-0825
Mailing address
16 BEAUMONT DR, MELVILLE, NY 11747-3402
(631) 271-0825
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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