Individual
MS. MICHELLE MAGORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1955 1ST AVE, #702, NEW YORK, NY 10029-6408
(925) 858-9063
Mailing address
1955 1ST AVENUE #702, NEW YORK, NY 10029-6445
(925) 858-9063
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
38382006
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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