Individual
MR. JUAN E MAGUINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1779 RICHMOND AVE, STATEN ISLAND, NY 10314-3907
(718) 982-6800
(718) 982-6830
Mailing address
1779 RICHMOND AVE, STATEN ISLAND, NY 10314-3907
(718) 982-6800
(718) 982-6830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
219130
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
219130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02227943
—
NY
05
—
03120101
—
NY
Enumeration date
12/15/2005
Last updated
12/27/2018
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