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Contact Information

MARTIN N MANGO, MD
1825 MAPLE RD
WILLIAMSVILLE, NY14221-2723
 Phone: 716-631-0834
 Fax: 716-631-0880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARTIN N MANGO · (Male)

NPI # 1013093889
Status Active
Credentials MD
Entity Individual
Enumeration date 10/27/2006
Last updated 01/02/2014 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 114235
  • NY Other 000506421002 COMMUNITY BLUE
  • NY Other 0406049 INDEPENDANT HEALTH
  • NY Other 00010369701 UNNIVERA
Hospital affiliation(s)
  • KALEIDA HEALTH - (Acute Care)
    726 EXCHANGE STREET, SUITE 522
    BUFFALO, NY 14210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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