Individual provider · Type 1 NPI

Dylan Mangano

Student in an Organized Health Care Education/Training Program · Wyandanch, NY

NPI number 1265082077 Active · reactivated Oct 22, 2024

Practice location

234 Long Island Ave
Wyandanch, NY 11798-3015

Call (631) 920-8250 Map

Fax (631) 920-8251

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265082077

Dylan Mangano's National Provider Identifier is 1265082077, issued on Sep 13, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wyandanch, NY. The record was last updated on Oct 22, 2024.