Christopher Mango, DC | |
157 E 72nd St Ofc J, New York, NY 10021-4333 | |
(917) 338-6048 | |
Not Available |
Full Name | Christopher Mango |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 157 E 72nd St Ofc J, New York, 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 |
---|---|---|---|
1376847756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X010998-1 (New York) | Primary |
Provider Name | Mango Chiropractic, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447920145 PECOS PAC ID: 9032596135 Enrollment ID: O20220511000651 |
Mailing Address | Practice Location Address |
---|---|
Christopher Mango, DC 157 E 72nd St Ofc J, New York, NY 10021-4333 Ph: (917) 338-6048 | Christopher Mango, DC 157 E 72nd St Ofc J, New York, NY 10021-4333 Ph: (917) 338-6048 |
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