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

Kathleen Mangiaracina

Individual provider Surgical Physician Assistant · NPI 1750546065

Kathleen Mangiaracina is a Surgical Physician Assistant in Merrick, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

2121 Avenue C
Merrick, NY 11566-4758
Phone: (718) 240-6400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (NY)

Record details

NPI number1750546065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2008
Last updated in NPPESJuly 25, 2008
Mailing address2121 Avenue C, Merrick, NY 11566-4758