Individual
MR. JOSEPH R DMAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
525 EAST 68TH STREET, NEW YORK PRESBYTERIAN HOSPITAL, NEW YORK, NY 10021-4870
(212) 746-4749
Mailing address
81 LORNA LANE, SUFFERN, NY 10901-7129
(845) 368-4846
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006098-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006098-1
NYS LICENSE REGISTRATION
NY
Enumeration date
12/19/2006
Last updated
07/08/2007
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