Basic Information
| Provider Information | |||||||||
| NPI: | 1043636194 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MAGRINI | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 TALBOT PL | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON STATION | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117462612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6318275549 | ||||||||
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| Practice Location | |||||||||
| Address1: | 45 CROSSWAYS PARK DR W | ||||||||
| Address2: | |||||||||
| City: | WOODBURY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117972002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165362800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2014 | ||||||||
| LastUpdateDate: | 10/17/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080S0010X | OP60918494 | WA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Sports Medicine | 208000000X | OP60918494 | WA | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.