Basic Information
Provider Information
NPI: 1487824967
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAGURNO
FirstName: DONNA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5 ESTATE DR
Address2:  
City: MIDDLETOWN
State: NY
PostalCode: 109403119
CountryCode: US
TelephoneNumber: 8009952673
FaxNumber:  
Practice Location
Address1: 2 KEEWAYDIN DR
Address2:  
City: SALEM
State: NH
PostalCode: 030792839
CountryCode: US
TelephoneNumber: 8009952673
FaxNumber: 8664201055
Other Information
ProviderEnumerationDate: 03/11/2008
LastUpdateDate: 03/11/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X007792NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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