Individual provider · Type 1 NPI

Nicholas Rocco Mangano, MD, MS

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

NPI number 1811690753 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Call (631) 689-8333 Map

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 1811690753

Nicholas Rocco Mangano, MD, MS's National Provider Identifier is 1811690753, issued on Mar 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 22, 2023.