Individual
DR. NNANA MANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 941-0635
Mailing address
1434 WILLIAMSBRIDGE RD FL 2, BRONX, NY 10461-2507
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220082
NY
207RC0000X
Cardiovascular Disease Physician
Primary
220082
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02546716
—
NY
Enumeration date
05/24/2007
Last updated
06/03/2021
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