Individual
DR. LOUIS MANGANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
181 N BELLE MEAD RD STE 5, EAST SETAUKET, NY 11733-3495
(631) 444-2599
(631) 444-1474
Mailing address
HSC T12-020 DEPARTMENT OF NEUROLOGY, STONY BROOK, NY 11794-8121
(631) 444-2799
(631) 444-1474
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
262054
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
262054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03641238
—
NY
Enumeration date
03/13/2008
Last updated
04/14/2023
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