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Individual

ANGELO L MAGNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
207 PROSPECT PARK W, BROOKLYN, NY 11215-5797
(718) 832-3200
(718) 788-5419
Mailing address
551 E 24TH ST, 1ST FLOOR, BROOKLYN, NY 11210-1129
(718) 434-2082
(718) 434-3636

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
07/26/2005
Last updated
09/22/2016
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