LISA MARIE MANGABANG
NPI 1174252191
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since June 06, 2022
1037 RATHBUN AVE, STATEN ISLAND, NY 10309(917) 573-6305 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Marie Mangabang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MARIE MANGABANG (NPI 1174252191) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1174252191
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLISA MARIE MANGABANG
Location Address1037 RATHBUN AVEStaten Island, NY 10309-2112
Mailing Address1037 Rathbun AveStaten Island, NY 10309-2112 · (917) 573-6305
Sole ProprietorYes
Enumeration DateJune 6, 2022
NPPES CertifiedMay 16, 2022
NPI 1174252191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1037 RATHBUN AVE, Staten Island, NY 10309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mangabang's NPI number?

The NPI number for Lisa Mangabang is 1174252191. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Lisa Mangabang located?

Lisa Mangabang practices at 1037 Rathbun Ave, Staten Island, NY 10309. The listed phone number is (917) 573-6305.

What is Lisa Mangabang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lisa Mangabang was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.