MRS. Marlene Mangome, PA

NPI #1184886889 in Flushing, New York

Provider Information

NPI Number: 1184886889
Entity Type: Individual
Name: MRS. Marlene Mangome, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 25, 2008
Last Updated: Dec 22, 2022

Practice Location

Address: 5645 MAIN ST
Address 2: OB/GYN DEPT.
City: Flushing
State: New York
ZIP Code: 11355-5045
Phone: (718) 670-1517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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