National Provider Identifier

Michael Thomas Mangione Jr., D.O.

Michael Thomas Mangione Jr., D.O. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Orchard Park, NY and a listed phone number of (716) 821-4513.

NPI 1033435102Orchard Park, NYEmergency Medicine Physician

Profile Overview

NPI
1033435102
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
April 14, 2010
Last Updated
December 17, 2018

Practice Location

  • 3669 Southwestern Blvd
  • Orchard Park, NY 14127

Phone: (716) 821-4513

Mailing Address

  • 3669 Southwestern Blvd
  • Orchard Park, NY 14127-1732

Specialties

  • Emergency Medicine Physician (207P00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1033435102
Entity Type
Individual
Last Name
Mangione
First Name
Michael
Middle Name
Thomas
Name Prefix
Dr.
Name Suffix
Jr.
Credential
D.O.
Mailing Street Address
3669 Southwestern Blvd
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1732
Mailing Country
US
Mailing Phone
(716) 821-4513
Practice Street Address
3669 Southwestern Blvd
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127
Practice Country
US
Practice Phone
(716) 821-4513
Enumeration Date
April 14, 2010
Last Updated
December 17, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X), Student in an Organized Health Care Education/Training Program (390200000X)