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NPI Code Detail

MEDICARE: DAVID P MANGIAMELI MD

MEDICARE:   DAVID P MANGIAMELI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician247678NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861659823
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID P MANGIAMELI MD
Provider Business Mailing Address
First Line : 100 HOSPITAL RD STE 201
Second Line : ATTN- LIZ KNUERR
City : EAST PATCHOGUE
State : NY
Zip : 11772-8814
Country : US
Telephone Number : 631-687-4237
Fax Number : 631-447-3012
Provider Business Practice Location Address
First Line : 100 HOSPITAL RD STE 201
Second Line : ATTN: LIZ KNUERR
City : EAST PATCHOGUE
State : NY
Zip : 11772-8814
Country : US
Telephone Number : 631-687-4237
Fax Number : 631-447-3012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2008
Last Update Date : 09/04/2009

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Directions to “ DAVID P MANGIAMELI MD” Practice Location

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