Organization
DIANE AND RAYMOND MAGLIULO, DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE MAGLIULO DO (PRESIDENT)
(631) 969-0000
Entity
Organization
Contact information
Practice address
245 W MAIN ST, BAY SHORE, NY 11706-8323
(631) 969-0000
(631) 969-1094
Mailing address
245 W MAIN ST, BAY SHORE, NY 11706-8323
(631) 969-0000
(631) 969-1094
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
183013
NY
261QP2300X
Primary Care Clinic/Center
Primary
183975
NY
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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