Individual
MRS. ANGIE MAGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 MERRILL AVE, STATEN ISLAND, NY 10314-3312
(718) 370-7529
Mailing address
31 SHARON LN, STATEN ISLAND, NY 10309-2020
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0038521
NY
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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