Individual provider · Type 1 NPI

Kathleen Mangiaracina

Surgical Physician Assistant · Merrick, NY

NPI number 1750546065 Active

Practice location

2121 Avenue C
Merrick, NY 11566-4758

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

Another provider at this address

About NPI 1750546065

Kathleen Mangiaracina's National Provider Identifier is 1750546065, issued on Jul 25, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Merrick, NY. The record was last updated on Jul 25, 2008.