Individual
GINNY MANTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMC - DEPT. OF RADIOLOGY, 111 EAST. 210TH STREET, BRONX, NY 10467
(718) 920-7023
Mailing address
60 WOODVALE LOOP, STATEN ISLAND, NY 10309-3518
(718) 920-7023
(718) 920-7248
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
206973
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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