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NPI Code Detail

MEDICARE: KATHLEEN MARANGIO

MEDICARE: KATHLEEN MARANGIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1700749439
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MARANGIO
Provider Business Mailing Address
First Line : 1400 OLD COUNTRY RD STE C103N
Second Line :
City : WESTBURY
State : NY
Zip : 11590-5156
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 OLD COUNTRY RD STE C103N
Second Line :
City : WESTBURY
State : NY
Zip : 11590-5156
Country : US
Telephone Number : 516-806-6969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ KATHLEEN MARANGIO ” Practice Location

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