E.S. Mango, M.D., P.C.
Orthopaedic Surgery in Smithtown, NY. Organization (NPI-2).
NPI number1861696684
StatusActive
Last updated in NPPESJan 31, 2008
Details
- NPI
- 1861696684
- Entity type
- Organization (NPI-2)
- Legal business name
- E.S. Mango, M.D., P.C.
- Organization subpart
- No
- Enumeration date
- Jun 14, 2007
- Last updated
- Jan 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 131139 | NY | Yes |
Practice location
290 E Main StSuite 700
Smithtown, NY 11787-2916
Phone 631-361-4802 · Fax 631-361-5376
Mailing address
290 E Main StSuite 700
Smithtown, NY 11787-2916
Phone 631-361-4802 · Fax 631-361-5376
Authorized official
Enrico Sandro Mango
President
6313614802
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