NPI 1144676974

Matthew Jon Mangiapane, LMFT

Practitioner Marriage & Family Therapist Ronkonkoma, NY

Practice location

Address: 200 Hawkins Ave Unit 41, Ronkonkoma, NY 11779-8002
Phone: (631) 604-8918
Mailing address: 16 Valley St, Ronkonkoma, NY 11779-1831

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 001010 (NY)

Other Marriage & Family Therapist providers in New York →

Registry record

NPI: 1144676974
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2016
Record last updated: 30 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.