Individual
DR. KIRSTEN P MAGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7278 BUCKLEY RD, NORTH SYRACUSE, NY 13212-2649
(315) 452-1712
(315) 452-0394
Mailing address
7278 BUCKLEY RD, NORTH SYRACUSE, NY 13212-2649
(315) 452-1712
(315) 452-0394
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
180821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01354801
—
NY
Enumeration date
09/25/2006
Last updated
02/01/2019
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