ANGELO MAGNO MD PC NPI 1417208927

NPI Information

NPI: 1417208927
Provider Name: ANGELO MAGNO MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
207 PROSPECT PARK W
BROOKLYN, NY
ZIP 11215
Phone: (718) 832-3200
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ANGELO MAGNO MD PC is a primary care clinic center in Brooklyn, NY. ANGELO MAGNO MD PC NPI is 1417208927. The provider is registered as an organization entity type.

The provider's business location address is:

207 PROSPECT PARK W
BROOKLYN, NY
ZIP 11215
Phone: (718) 832-3200

The provider's authorized official is Angelo Magno .
The authorized official title is Ceo and has the following contact phone number (516) 254-4330.

The enumeration date for this NPI number is 9/24/2012 and was last updated on 9/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	165641	NEW YORK	No
2	261QP2300X	Clinic/Center	Primary Care	165641	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01392438	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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