Mangan, Kevin Timothy

Mangan, Kevin Timothy is an sole proprietor health care provider with primary practice located at 3941 Bea Ct , Oceanside NY 11572-5907. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mangan, Kevin Timothy can be contacted via phone (516) 317-9593.

Contact Information

Primary practice address
3941 Bea Ct Oceanside NY 11572-5907
Phone: (516) 317-9593
Fax: (516) 764-5323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 014577 New York

Profile Details

NPI number 1639270820
LBN Legal business name Mangan, Kevin Timothy
Credentials PT,DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jan 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639270820 NPPES
New York Other Q570A1 EMPIRE BLUE CROSS BLUE SHIELD

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