Individual
SHERENE MANGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 PORTION RD STE 12, FARMINGVILLE, NY 11738-2256
(631) 320-1599
Mailing address
1075 PORTION RD STE 12, FARMINGVILLE, NY 11738-2256
(631) 320-1599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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