MEDICARE: DR. VIRGINIA MACATANGAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	169686-1	NY

General Provider Information

NPI Number	:	1235293911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA MACATANGAY M.D.

Provider Business Mailing Address
First Line	:	231 BENEDICT RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-1207
Country	:	US
Telephone Number	:	718-948-7230
Fax Number	:

Provider Business Practice Location Address
First Line	:	3635 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-3410
Country	:	US
Telephone Number	:	718-948-7230
Fax Number	:	718-948-7239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	11/14/2017

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