Individual
RONNI MARANGONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6267
(631) 476-7715
Mailing address
15 COMMUNITY RD, CORAM, NY 11727-3132
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014417-1
NY
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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