Individual
DR. CRISCHELLE VILBAR MAGASPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MARY IMOGENE BASSETT MEDICAL CENTER, 1 ATWELL ROAD, COOPERSTOWN, NY 13326
(607) 547-3283
Mailing address
200 N END AVE APT 22E, NEW YORK, NY 10282-7018
(347) 821-7794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
283258-1
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
04-40999
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
283258-1
NY
207RP1001X
Pulmonary Disease Physician
Primary
01081554A
IN
207RP1001X
Pulmonary Disease Physician
283258
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326550001
TAXONOMY NUMBER
NY
01
—
207RP1001X
TAXONOMY NUMBER
NY
05
—
207RP1001X
—
NY
05
—
283258
—
NY
Enumeration date
04/28/2011
Last updated
01/28/2019
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