Organization
E.S. MANGO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRICO SANDRO MANGO M.D. (PRESIDENT)
(631) 361-4802
Entity
Organization
Contact information
Practice address
290 E MAIN ST, SUITE 700, SMITHTOWN, NY 11787-2916
(631) 361-4802
(631) 361-5376
Mailing address
290 E MAIN ST, SUITE 700, SMITHTOWN, NY 11787-2916
(631) 361-4802
(631) 361-5376
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
131139
NY
Other
Enumeration date
06/14/2007
Last updated
01/31/2008
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