Individual
ANITA MANGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10638 96TH ST, OZONE PARK, NY 11417-2132
(917) 474-0279
Mailing address
10638 96TH ST, OZONE PARK, NY 11417-2132
(917) 474-0279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342103-1
NY
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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