National Provider Identifier
Leda Marie Marangoni, PA-C
Leda Marie Marangoni, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Jamestown, NY and a listed phone number of (716) 661-9730.
Profile Overview
- NPI
- 1861028623
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 12, 2020
- Last Updated
- March 12, 2020
Practice Location
- 1684 Foote Avenue Ext
- Jamestown, NY 14701-9385
Phone: (716) 661-9730
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1861028623
- Entity Type
- Individual
- Last Name
- Marangoni
- First Name
- Leda
- Middle Name
- Marie
- Credential
- PA-C
- Mailing Street Address
- 1684 Foote Avenue Ext
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-9385
- Mailing Country
- US
- Mailing Phone
- (716) 661-9730
- Practice Street Address
- 1684 Foote Avenue Ext
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-9385
- Practice Country
- US
- Practice Phone
- (716) 661-9730
- Enumeration Date
- March 12, 2020
- Last Updated
- March 12, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 12, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)