| Doctor Name: | MS. GRACE MANGLET |
| NPI Number: | 1013206655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, NP (PMHNP-BC) |
| License Number: | F401339 |
| Business Practice Address: | 79 - 01 Broadway, Elmhurst Hospital Center Department Of Psychiatry Elmhurst, NY - 11373 |
| Business Phone Number: | 7183343554 |
| Business Fax Number: | |
| Mailing Address: | 8614 256th St, FLORAL PARK |
| State: | NY |
| Postal Code: | 110011406 |
| Phone Number: | 7184700706 |
| Fax Number: | |
| NPI Enumeration Date: | 04/05/2011 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F401339 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |