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NPI Code Detail

MEDICARE: AISSE MAGASSA

MEDICARE:   AISSE  MAGASSA
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
11041C0700XClinical Social Worker100978NY

General Provider Information

NPI Number : 1366913253
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISSE MAGASSA
Provider Business Mailing Address
First Line : 1225 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10452-8015
Country : US
Telephone Number : 718-960-2857
Fax Number :
Provider Business Practice Location Address
First Line : 1225 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10452-8015
Country : US
Telephone Number : 718-960-2857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 12/02/2025

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Directions to “ AISSE MAGASSA ” Practice Location

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