MEDICARE: MAGER & GOUGELMAN INC

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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1033547518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGER & GOUGELMAN INC

Provider Business Mailing Address
First Line	:	144 E 44TH ST STE 602
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-4090
Country	:	US
Telephone Number	:	212-661-3939
Fax Number	:	877-592-0206

Provider Business Practice Location Address
First Line	:	230 HILTON AVE STE 210
Second Line	:
City	:	HEMPSTEAD
State	:	NY
Zip	:	11550-8116
Country	:	US
Telephone Number	:	516-489-0202
Fax Number	:	516-386-4334

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	LAURA HAUN
Credential	:
Telephone Number	:	212-661-3939

Provider Enumeration Date	:	10/22/2013
Last Update Date	:	02/17/2026

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Directions to “MAGER & GOUGELMAN INC ” Practice Location

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