Individual
ASHLEY NICOLE MANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2255
Mailing address
12 DOE LN, COMMACK, NY 11725-3209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023559
NY
Other
Enumeration date
09/11/2019
Last updated
07/24/2024
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