Provider Demographics
NPI:1235173154
Name:MAGIL, CHRISTOPHER JAMES (DPT, MS, PT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:MAGIL
Suffix:
Gender:M
Credentials:DPT, MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4780 DUANESBURG ROAD
Mailing Address - Street 2:
Mailing Address - City:DUANESBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12056
Mailing Address - Country:US
Mailing Address - Phone:518-355-8500
Mailing Address - Fax:518-355-8550
Practice Address - Street 1:4780 DUANESBURG ROAD
Practice Address - Street 2:
Practice Address - City:DUANESBURG
Practice Address - State:NY
Practice Address - Zip Code:12056
Practice Address - Country:US
Practice Address - Phone:518-355-8500
Practice Address - Fax:518-355-8550
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0259551225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02565295Medicaid
NY02565295Medicaid
Q10076Medicare UPIN