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Kathleen Mangiaracina
Surgical Physician Assistant in Merrick, New York
NPI 1750546065

Kathleen Mangiaracina is a Surgical Physician Assistant based in Merrick, NY and is specialized in Surgical. Kathleen Mangiaracina practices in Merrick, NY. The NPI Number for Kathleen Mangiaracina is 1750546065 and holds a License No. (New York).

The current practice location address for Kathleen Mangiaracina is 2121 Avenue C, Merrick, NY and can be reached out via phone at 718-240-6400.

Location: 2121 Avenue C, Merrick, NY, 11566-4758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750546065
Provider Name
Kathleen Mangiaracina
Credential
Provider Entity Type
Individual
Gender
Female
Address
2121 Avenue C, Merrick, NY, 11566-4758
Phone Number
718-240-6400
Fax Number
Provider Enumeration Date
07/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2121 Avenue C
City
Merrick
State
New York
Zip
11566-4758
Phone Number
718-240-6400
Fax Number
person
Provider Business Mailing Address Details
Address
2121 Avenue C
City
Merrick
State
New York
Zip
11566-4758
Phone Number
718-240-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
(New York)
Definition
Definition to come...
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