Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIN MARY NANGLE
Active Sole ProprietorJENNIN MARY NANGLE is a Recreation Therapist healthcare provider located in LAKE RONKONKOMA, New York. NPI 1285017608 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1285017608
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2015 (11.155506273733 yrs)
- Last Updated
- Jul 30, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 BORMAN CTLAKE RONKONKOMA, NY, 117791982Browse NY providers · Browse ZIP 11779
- Phone
- 6314842020
- Primary Specialty
-
Recreation Therapist
225800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.