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Jeremy Mang
NPI 1881290740 · on the registry since 2020
Practice
- Address
- 4540 Lincoln Dr
Gasport, NY 14067 - Phone
- (716) 772-2631
- Organisation at this address
- Village Park Healthcare Center, Inc.
Absolut Center For Nursing And Rehabilitation At Gasport, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-07
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