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

Individual provider Recreation Therapist · NPI 1285017608

Jennin Mary Nangle is a Recreation Therapist in Lake Ronkonkoma, New York. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

15 Borman Ct
Lake Ronkonkoma, NY 11779-1982
Phone: (631) 484-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1285017608
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2015
Last updated in NPPESJuly 30, 2015