| Charles William Mango, MD | |
|
915 Palmer Rd, Bronxville, NY 10708-3304 | |
| (914) 793-6900 | |
| (914) 779-7810 |
| Full Name | Charles William Mango |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 915 Palmer Rd, Bronxville, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528025129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 223862-1 (New York) | Primary |
| Entity Name | Steven Bodine |
|---|---|
| Entity Type | Practitioner - Ophthalmology |
| Entity Identifiers | NPI Number: 1457342123 PECOS PAC ID: 2769584051 Enrollment ID: I20070216000069 |
| Entity Name | Long Island Vitreo Retinal Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437262755 PECOS PAC ID: 1355232158 Enrollment ID: O20040322001473 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles William Mango, MD 915 Palmer Rd, Bronxville, NY 10708-3304 Ph: (914) 793-6900 | Charles William Mango, MD 915 Palmer Rd, Bronxville, NY 10708-3304 Ph: (914) 793-6900 |
Dr. Dan H-k Jokl, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1 Stone Place, Bronxville, NY 10708 Phone: 914-337-3524 Fax: 914-337-3524 | |
Audell W Ray, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 77 Pondfield Rd, Bronxville, NY 10708 Phone: 914-337-8844 Fax: 914-337-2270 | |
Joseph E Magaro, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 77 Pondfield Rd, Bronxville, NY 10708 Phone: 914-337-8844 Fax: 914-337-2270 |