Provider Demographics
NPI:1265723027
Name:MAGASPI, CRISCHELLE VILBAR (MD)
Entity type:Individual
Prefix:DR
First Name:CRISCHELLE
Middle Name:VILBAR
Last Name:MAGASPI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N END AVE APT 22E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10282-7018
Mailing Address - Country:US
Mailing Address - Phone:347-821-7794
Mailing Address - Fax:
Practice Address - Street 1:MARY IMOGENE BASSETT MEDICAL CENTER
Practice Address - Street 2:1 ATWELL ROAD
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326
Practice Address - Country:US
Practice Address - Phone:607-547-3283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283258-1207R00000X, 207RC0200X
KS04-40999207RC0200X
NY283258207RP1001X
NY390200000X
IN01081554A207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY207RP1001XOtherTAXONOMY NUMBER
NY283258Medicaid
NY1326550001OtherTAXONOMY NUMBER
NY207RP1001XMedicaid