Rebecca B Magbag, MD

Individual provider Active NPI Internal Medicine Physician · Riverdale, NY

NPI 1629065248 · NPPES record last updated Nov 30, 2007

Key facts

NPI
1629065248
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
111684 (NY)
Practice address
5901 Palisade Ave
The Hebrew Home for the Aged at Riverdale
Riverdale, NY 10471-1205
Phone
(718) 581-1200
Fax
(718) 581-1012
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
111684NYMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 111684 NY Yes

Addresses

Primary practice location

5901 Palisade Ave
The Hebrew Home for the Aged at Riverdale
Riverdale, NY 10471-1205

Mailing address

5901 Palisade Ave
The Hebrew Home for the Aged at Riverdale
Riverdale, NY 10471-1205
Phone (718) 581-1200

Other providers in Riverdale, NY

All providers in Riverdale, NY · Internal Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.