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Individual

MRS. DINA MARIE MANGINELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 RIDGE ST, EASTCHESTER, NY 10709-1718
(914) 337-1492
Mailing address
101 RIDGE ST, EASTCHESTER, NY 10709-1718
(914) 337-1492

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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