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Individual
PEGEEN CONDEZ MAGALONG
Active
Individual
PEGEEN CONDEZ MAGALONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0100841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2C9110
HEALTHNET
NY
01
—
ANC1593
OXFORD
NY
Enumeration date
09/14/2005
Last updated
07/13/2026
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