Provider Demographics
NPI:1295205086
Name:MAGARIN, MIGUELINA (LPN)
Entity Type:Individual
Prefix:
First Name:MIGUELINA
Middle Name:
Last Name:MAGARIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 GUY LOMBARDO AVE APT 4E
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-4409
Mailing Address - Country:US
Mailing Address - Phone:516-244-0143
Mailing Address - Fax:
Practice Address - Street 1:160 GUY LOMBARDO AVE APT 4E
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-4409
Practice Address - Country:US
Practice Address - Phone:516-244-0143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333602164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse