Thomas J Mango MD PC

Specialist · Patchogue, NY

Organization Active NPI

NPI number 1609838259

Practice location

31 Oak St
Suite 3
Patchogue, NY 11772-2887
Phone
(631) 758-3911
Fax
(631) 758-4072

Open in Google Maps

NPI record

NPI
1609838259
Entity type
Organization (Type 2)
Enumeration date
April 6, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 210442 NY

Authorized official

Name
Mrs. Gina Bancroft
Title
Manager
Phone
(631) 758-3911

About Thomas J Mango MD PC

Thomas J Mango MD PC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 31 Oak St, Suite 3, Patchogue, NY 11772-2887. The NPI number 1609838259 was assigned on April 6, 2006 and the record was last updated on August 22, 2020.

Thomas J Mango MD PC lists a license in the registry: #210442 (NY) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Gina Bancroft, Manager.

Frequently asked questions

What is the NPI number of Thomas J Mango MD PC?

The NPI number is 1609838259.

What is the phone number of Thomas J Mango MD PC?

The phone number listed for the practice location is (631) 758-3911.

Where is Thomas J Mango MD PC located?

31 Oak St, Suite 3, Patchogue, NY 11772-2887.

What is the taxonomy code for Thomas J Mango MD PC?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Specialist providers in Patchogue

All Specialist providers in Patchogue, NY →