| Doctor Name: | MS. ZORIANA N. MANGIONE |
| NPI Number: | 1710054358 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5267 |
| Business Practice Address: | 16 Miller Rd Ballston Lake, NY - 120191004 |
| Business Phone Number: | 5188992374 |
| Business Fax Number: | 5188992374 |
| Mailing Address: | 16 Miller Rd, BALLSTON LAKE |
| State: | NY |
| Postal Code: | 120191004 |
| Phone Number: | 5188992374 |
| Fax Number: | 5188992374 |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 11/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 5267 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |