Organization
MGS MEDICAL TECHNOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGDA FAHMY MD (PRESIDENT)
(718) 460-2876
Entity
Organization
Contact information
Practice address
4359 147TH ST, FLUSHING, NY 11355-1741
(718) 445-1205
(718) 445-1922
Mailing address
14415 32ND AVE, FLUSHING, NY 11354-2318
(718) 460-2876
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
215618
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
215618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215618
LICENSE
NY
Enumeration date
02/06/2012
Last updated
02/06/2012
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