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Angelina Mamanova

NPI 1932518321 · on the registry since 2014

Practice

Address
17408 73rd Ave
Fresh Meadows, NY 11366
Phone
(646) 233-9405

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-11

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