Provider Demographics
NPI:1992755409
Name:NORMAN M MAGID M D P C
Entity type:Organization
Organization Name:NORMAN M MAGID M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAGID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-752-3464
Mailing Address - Street 1:450 E 63RD ST
Mailing Address - Street 2:SUITE 1N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7928
Mailing Address - Country:US
Mailing Address - Phone:212-752-3464
Mailing Address - Fax:212-752-3474
Practice Address - Street 1:450 E 63RD ST
Practice Address - Street 2:SUITE 1N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7928
Practice Address - Country:US
Practice Address - Phone:212-752-3464
Practice Address - Fax:212-752-3474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW2L542Medicare PIN