Organization
ZOHAR MAXCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MANGLET NP (NURSE PRACTITITONER)
(516) 474-5062
Entity
Organization
Contact information
Practice address
32 CHURCH ST, MALVERNE, NY 11565-1735
(516) 474-5062
Mailing address
32 CHURCH ST, MALVERNE, NY 11565-1735
(516) 474-5062
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
510328-1
NY
Other
Enumeration date
08/28/2014
Last updated
02/05/2021
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