Individual provider · Type 1 NPI
Vincenza Mangiolino, RPA-C
Medical Physician Assistant · Bethpage, NY
NPI number
1790818136
Active
Practice location
225 Central Ave S
Bethpage, NY 11714-4940
Mailing address
652 Suffolk Ave, Ste 208
Brentwood, NY 11717-4305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 008396 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1790818136
Vincenza Mangiolino, RPA-C's National Provider Identifier is 1790818136, issued on Mar 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bethpage, NY. The record was last updated on May 18, 2016.