Magistro, Michael

Magistro, Michael is an individual health care provider with primary practice located at 125 Terryville Rd Apt 8C, Port Jefferson Station NY 11776-1300. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Magistro, Michael can be contacted via phone (631) 974-2883.

Contact Information

Primary practice address
125 Terryville Rd Apt 8C Port Jefferson Station NY 11776-1300
Phone: (631) 974-2883
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 67002001 New York

Profile Details

NPI number 1740551480
LBN Legal business name Magistro, Michael
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2012
Last updated Jan 25th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740551480 NPPES
New York Other 1026686 NATIONAL ATHLETIC TRAINER ASSOCIATION

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