Individual
ESEROGHENE MAGEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9807 FOSTER AVE, BROOKLYN, NY 11236-2113
(347) 435-0203
Mailing address
31 DOREEN DR, STATEN ISLAND, NY 10303-2136
(917) 723-5656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
.....
NY
363A00000X
Physician Assistant
PA64374
CA
Other
Enumeration date
08/27/2009
Last updated
10/06/2025
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