Randy Mangini

NPI #1245902600 in Elmira, New York

Provider Information

NPI Number: 1245902600
Entity Type: Individual
Name: Randy Mangini
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 4, 2021
Last Updated: Oct 4, 2021

Practice Location

Address: 1149 SULLIVAN ST
City: Elmira
State: New York
ZIP Code: 14901-1670
Phone: (607) 733-7661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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