Most Relevant Information
Provider Data
NPI Number: | 1003554205 |
Provider Name: | LINDA MANGERA |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 05/26/2022 |
Last Updated: | 01/30/2023 |
Provider Practice Location
100 E 77TH ST
NEW YORK
NY
10075
Practice Location Phone/Fax
Phone: | 2124342000 |
Fax: |
Provider Mailing Location
100 E 77TH ST
NEW YORK
NY
10075
Provider Mailing Phone/Fax
Phone: | |
Fax: |