Magno, Angelo L

Magno, Angelo L is an sole proprietor health care provider with primary practice located at 207 Prospect Park W , Brooklyn NY 11215-5797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Magno, Angelo L can be contacted via phone (718) 832-3200.

Contact Information

Primary practice address
207 Prospect Park W Brooklyn NY 11215-5797
Phone: (718) 832-3200
Fax: (718) 788-5419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 165641 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA05018400 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME 64504 Florida

Profile Details

NPI number 1164422796
LBN Legal business name Magno, Angelo L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Sep 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164422796 NPPES
New York MEDICAID 01392438

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