Individual
MANISHA MANGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-7494
(315) 464-5189
Mailing address
224 HARRISON ST STE 601, SYRACUSE, NY 13202-3186
(315) 464-5660
(315) 464-7695
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
334749
NY
2085R0202X
Diagnostic Radiology Physician
334749
NY
Other
Enumeration date
06/06/2019
Last updated
08/26/2025
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