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General NPI Number Information
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NPI Number | 1326605833
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Entity Type | Individual
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Provider Name | VINCENZO MANGIONE
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Gender | Male
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Dates
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Enumeration Date | 05/21/2019
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 2701 QUEENS PLZ N
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4020
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Country | US
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Telephone | 646-665-3617
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Fax |
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Provider Business Mailing Address
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Address Line | 604 E PARK AVE
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City | LONG BEACH
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State | NY
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Zip | 11561-2505
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Country | US
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Telephone | 516-432-0011
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 023165-1
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License Number State | NY
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