National Provider Identifier

Randy Mangini

Randy Mangini is listed in the NPPES registry with a primary specialty of Counselor in Elmira, NY and a listed phone number of (607) 733-7661.

NPI 1245902600Elmira, NYCounselor

Profile Overview

NPI
1245902600
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
October 04, 2021
Last Updated
October 04, 2021

Practice Location

  • 1149 Sullivan St
  • Elmira, NY 14901-1670

Phone: (607) 733-7661

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1245902600
Entity Type
Individual
Last Name
Mangini
First Name
Randy
Mailing Street Address
1149 Sullivan St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-1670
Mailing Country
US
Mailing Phone
(607) 733-7661
Practice Street Address
1149 Sullivan St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1670
Practice Country
US
Practice Phone
(607) 733-7661
Enumeration Date
October 04, 2021
Last Updated
October 04, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 01, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)