Alice Mangru, | |
21015 23rd Ave, Bayside, NY 11360-1845 | |
(347) 254-9959 | |
Not Available |
Full Name | Alice Mangru |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 21015 23rd Ave, Bayside, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033834536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 343844 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Alice Mangru, 21015 23rd Ave, Bayside, NY 11360-1845 Ph: () - | Alice Mangru, 21015 23rd Ave, Bayside, NY 11360-1845 Ph: (347) 254-9959 |
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