Individual
DAVID P MANGIAMELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL RD STE 201, ATTN: LIZ KNUERR, EAST PATCHOGUE, NY 11772-8814
(631) 687-4237
(631) 447-3012
Mailing address
100 HOSPITAL RD STE 201, ATTN- LIZ KNUERR, EAST PATCHOGUE, NY 11772-8814
(631) 687-4237
(631) 447-3012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
247678
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02977484
—
NY
Enumeration date
05/19/2008
Last updated
09/04/2009
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