Individual
CHARLES A MAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 DANFORTH ST, HOOSICK FALLS FAMILY HEALTH CENTER, HOOSICK FALLS, NY 12090-1226
(518) 686-5002
(518) 686-1848
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 686-5002
(518) 686-1848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
147970
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00772514
—
NY
01
—
P00010323
RR MEDICARE
NY
Enumeration date
10/12/2005
Last updated
06/05/2012
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