Provider Demographics
NPI:1619108867
Name:MAGRINO, MICHAEL GABRIEL (DO)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:GABRIEL
Last Name:MAGRINO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 E 92ND ST
Mailing Address - Street 2:APT. #3B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5433
Mailing Address - Country:US
Mailing Address - Phone:217-390-5378
Mailing Address - Fax:
Practice Address - Street 1:327 E 92ND ST
Practice Address - Street 2:APT. #3B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-5433
Practice Address - Country:US
Practice Address - Phone:217-390-5378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program