Individual
MRS. VINCENZA MANGIOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
225 CENTRAL AVE S, BETHPAGE, NY 11714-4940
(516) 293-2000
Mailing address
652 SUFFOLK AVE, STE 208, BRENTWOOD, NY 11717-4305
(631) 231-3535
(631) 231-3535
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008396
NY
Other
Enumeration date
03/14/2007
Last updated
05/18/2016
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