National Provider Identifier
Laura Janeen Mango, M.D.
Laura Janeen Mango, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 630-1000.
Profile Overview
- NPI
- 1619110210
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 13, 2009
- Last Updated
- December 06, 2021
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 630-1000
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Internal Medicine Physician (207R00000X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Buffalo, NY 14203
Full Record
- NPI
- 1619110210
- Entity Type
- Individual
- Last Name
- Mango
- First Name
- Laura
- Middle Name
- Janeen
- Credential
- M.D.
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 630-1000
- Practice Fax
- (716) 630-1348
- Enumeration Date
- April 13, 2009
- Last Updated
- December 06, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)