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Individual
MR. MICHAEL A. MAGLIOCCA
Active
Individual
MR. MICHAEL A. MAGLIOCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP8830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02689614
—
NY
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
P00247904
RR MEDICARE PIN
NY
Enumeration date
02/17/2006
Last updated
09/27/2017
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