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Joseph Mango
NPI 1962876912 · on the registry since 2015 · sole proprietor
Practice
- Address
- 32 2nd St
Waterford, NY 12188 - Phone
- (518) 560-9287
Registry record
- Primary taxonomy
- 344600000X
344600000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York