MS. Vadewattie Mangru, NP is a primary care nurse practitioner in Jamaica, NY. MS. Vadewattie Mangru, NP NPI is 1467546317. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
82-68 164TH ST
JAMAICA, NY
ZIP 11432-121
Phone: (718) 883-3225
Fax: (718) 883-6193
The NPI 1467546317 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.