Healthcare Provider Details

I. General information

NPI: 1437291325
Provider Name (Legal Business Name): MAGALIE LIMAGE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 FLATBUSH AVE
BROOKLYN NY
11217-2116
US

IV. Provider business mailing address

172 MARLBOROUGH RD
BROOKLYN NY
11226-4510
US

V. Phone/Fax

Practice location:
  • Phone: 718-783-0070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number218274
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: