Individual
MRS. CHRISTINE MARIE MANGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
750 HICKSVILLE RD, SEAFORD, NY 11783-1328
(516) 520-6000
Mailing address
750 HICKSVILLE RD, SEAFORD, NY 11783-1328
(516) 965-9013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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