Organization
ANGELO MAGNO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO L MAGNO MD (PRESIDENT)
(516) 254-4330
Entity
Organization
Contact information
Practice address
207 PROSPECT PARK W, BROOKLYN, NY 11215-5797
(718) 832-3200
(718) 788-5419
Mailing address
207 PROSPECT PARK W, BROOKLYN, NY 11215-8091
(718) 434-2082
(516) 254-4330
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
165641
NY
207RN0300X
Nephrology Physician
25MA05018400
NJ
207RN0300X
Nephrology Physician
ME 64504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01392438
—
NY
Enumeration date
09/12/2008
Last updated
09/06/2022
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