Individual
SHIRLEY SANDRA MAGABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
299954-01
NY
Other
Enumeration date
06/27/2011
Last updated
05/16/2025
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