Individual provider · Type 1 NPI

Tachei Mangol

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

NPI number 1770420176 Active

Practice location

200 Old Country Rd Ste 460
Mineola, NY 11501-4293

Call (516) 663-2752 Map

Mailing address

12030 231st St
Cambria Heights, NY 11411-2220

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 1770420176

Tachei Mangol's National Provider Identifier is 1770420176, issued on May 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mineola, NY. The record was last updated on May 2, 2026.