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NPI Code Detail

MEDICARE: DR. DOUGLAS P MAGNER DDS

MEDICARE: DR. DOUGLAS P MAGNER DDS
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
11223G0001XGeneral Practice Dentistry32397NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
132397OTHERNYSTATE ID NUMBER

General Provider Information

NPI Number : 1588753818
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS P MAGNER DDS
Provider Business Mailing Address
First Line : 18 E 48TH ST
Second Line : STE 1602
City : NEW YORK
State : NY
Zip : 10017-1014
Country : US
Telephone Number : 212-223-3800
Fax Number : 212-223-3802
Provider Business Practice Location Address
First Line : 18 E 48TH ST
Second Line : STE 1602
City : NEW YORK
State : NY
Zip : 10017-1014
Country : US
Telephone Number : 212-223-3800
Fax Number : 212-223-3802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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