Mangold, Jean Harris

Mangold, Jean Harris is an individual health care provider with primary practice located at 2225 Clinton Ave S , Rochester NY 14618-2623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mangold, Jean Harris can be contacted via phone (585) 256-2210.

Contact Information

Primary practice address
2225 Clinton Ave S Rochester NY 14618-2623
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381281 New York

Profile Details

NPI number 1275685216
LBN Legal business name Mangold, Jean Harris
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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