Organization
ANGELO MAGNO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO MAGNO MD (CEO)
(516) 254-4330
Entity
Organization
Contact information
Practice address
207 PROSPECT PARK W, BROOKLYN, NY 11215
(718) 832-3200
Mailing address
207 PROSPECT PARK W, BROOKLYN, NY 11215-8091
(516) 254-4330
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
165641
NY
261QP2300X
Primary Care Clinic/Center
Primary
165641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01392438
—
NY
Enumeration date
09/24/2012
Last updated
09/06/2022
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