Organization
BODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KRISTIAN MANGUBAT (CEO)
(347) 605-7946
Entity
Organization
Contact information
Practice address
8686 BAY PKWY, BROOKLYN, NY 11214-5119
(347) 605-7946
(718) 585-0880
Mailing address
6 LITCHULT CT, AIRMONT, NY 10901-7511
(347) 605-7946
(718) 585-0880
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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