Mangione, Kelly

Mangione, Kelly is an individual health care provider with primary practice located at 2050 Tilden Ave , New Hartford NY 13413-3613. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mangione, Kelly can be contacted via phone (315) 737-2462.

Contact Information

Primary practice address
2050 Tilden Ave New Hartford NY 13413-3613
Phone: (315) 737-2462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 018774 New York

Profile Details

NPI number 1699007773
LBN Legal business name Mangione, Kelly
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2010
Last updated Mar 3rd, 2015 - about 10 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 1699007773 NPPES
New York MEDICAID 01815443
New York MEDICAID 00313539

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