Individual provider · Type 1 NPI
Mary Mango, ANP
Adult Health Nurse Practitioner · East Setauket, NY
NPI number
1043330236
Active
Practice location
220 N Belle Mead Rd Ste A
East Setauket, NY 11733-3458
Fax (631) 941-3090
Mailing address
194 Pond View Ln
Smithtown, NY 11787-5200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F304256-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1043330236
Mary Mango, ANP's National Provider Identifier is 1043330236, issued on Mar 30, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Setauket, NY. The record was last updated on Jul 8, 2007.