Doctor Name: | DR. MICHAEL ANTHONY PAGLIA |
NPI Number: | 1477737443 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 075768 |
Business Practice Address: | 100 Hart Blvd Staten Island, NY - 103012615 |
Business Phone Number: | 7184488699 |
Business Fax Number: | 7189814040 |
Mailing Address: | 100 Hart Blvd, STATEN ISLAND |
State: | NY |
Postal Code: | 103012615 |
Phone Number: | 7184488699 |
Fax Number: | 7189814040 |
NPI Enumeration Date: | 12/26/2007 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 075768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |