Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEPH MANGO
Active Sole ProprietorJOSEPH MANGO is a Van Provider healthcare provider located in WATERFORD, New York. NPI 1962876912 is currently active in the NPPES registry. Verify at CMS.
Van Provider · WATERFORD, NY
Registration Details
- NPI Number
- 1962876912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2015 (10.776373937893 yrs)
- Last Updated
- Nov 13, 2015
- License
-
834392282 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32 2ND STWATERFORD, NY, 121882531Browse NY providers · Browse ZIP 12188
- Phone
- 5185609287
- Primary Specialty
-
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.