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Organization

IGOR MAGANOV MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IGOR MAGANOV M.D. (OWNER)
(631) 264-2030
Entity
Organization

Contact information

Practice address
1765 E 19TH ST, BROOKLYN, NY 11229-2233
(718) 360-5953
(631) 264-1418
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207LP2900X
Pain Medicine (Anesthesiology) Physician

Other

Enumeration date
05/02/2018
Last updated
05/02/2018
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