Individual provider · Type 1 NPI
Michael William Mangino Jr., NP-P
Psychiatric/Mental Health Nurse Practitioner · Selden, NY
NPI number
1760815252
Active
Practice location
533 College Rd, Riverhead Building
Selden, NY 11784-2851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 400716 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Selden
About NPI 1760815252
Michael William Mangino Jr., NP-P's National Provider Identifier is 1760815252, issued on Aug 20, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Selden, NY. The record was last updated on Aug 20, 2013.