Individual
LILLIAN MANGRU MANGRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 E 165TH ST, BRONX, NY 10456-6637
(718) 468-9000
Mailing address
3999 BARNES AVE, BRONX, NY 10466-4317
(917) 557-8527
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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