National Provider Identifier

Jason Mang, O.T.R./L.

Jason Mang, O.T.R./L. is listed in the NPPES registry with a primary specialty of Specialist in Amherst, NY and a listed phone number of (716) 250-1234.

NPI 1184926354Amherst, NYSpecialist

Profile Overview

NPI
1184926354
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
November 22, 2010
Last Updated
November 22, 2010

Practice Location

  • 1901 Sweet Home RD
  • Amherst, NY 14228-5312

Phone: (716) 250-1234

Mailing Address

  • 72 Mang Ave
  • Kenmore, NY 14217-2632

Specialties

  • Specialist (174400000X)
Full Record
NPI
1184926354
Entity Type
Individual
Last Name
Mang
First Name
Jason
Credential
O.T.R./L.
Mailing Street Address
72 Mang Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2632
Mailing Country
US
Mailing Phone
(716) 510-3556
Practice Street Address
1901 Sweet Home RD
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14228-5312
Practice Country
US
Practice Phone
(716) 250-1234
Enumeration Date
November 22, 2010
Last Updated
November 22, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)