Mango, Charles
Mango, Charles is an sole proprietor health care provider with primary practice located at 1101 Erie Blvd E Ste 210, Syracuse NY 13210-1144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mango, Charles can be contacted via phone (315) 218-7591.Contact Information
Primary practice address
1101 Erie Blvd E Ste 210
Syracuse NY 13210-1144
Phone: (315) 218-7591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 106955 | New York |
Profile Details
| NPI number | 1285637611 |
|---|---|
| LBN Legal business name | Mango, Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Jan 5th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285637611 | NPPES |
| New York | MEDICAID | 00550014 |
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