Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelina Mamanova

Individual provider Physician Assistant · NPI 1932518321

Angelina Mamanova is a Physician Assistant in Fresh Meadows, New York. Qualified in 2014, 12 years ago. Practices with Metro Dermatology of Ny, PC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

17408 73rd Ave
Fresh Meadows, NY 11366-1404
Phone: (646) 233-9405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017684 (NY)

Record details

NPI number1932518321
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 11, 2014
Last updated in NPPESAugust 11, 2014
Mailing address17408 73rd Ave, Fresh Meadows, NY 11366-1404

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Metro Dermatology Of Ny,P.C. — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fresh Meadows