MS. MAGNIM KISSAO


Address: 60 Hamilton Ave Apt 2e, Staten Island, NY 10301-1843
Phone: 3472476962

MS. MAGNIM KISSAO (NPI# 1982261145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982261145
Entity Type Individual
Full Name MS. MAGNIM KISSAO
Credential PA-C
Practice Address 60 Hamilton Ave Apt 2e
Staten Island
NY 10301-1843
Practice Telephone 3472476962
Mailing Telephone 3472476962
Enumeration Date 2019-05-23
Last Update Date 2019-05-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
023041 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 60 HAMILTON AVE APT 2E
City STATEN ISLAND
State NY
Zip Code 10301-1843

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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427595099 Hari Gnanasekeram, PC Internal Medicine 405 Armstrong Ave, Staten Island, NY 10308-2629 2017-01-20
1073859203 Ny Cardio Care Pllc Internal Medicine 1112 South Ave Ste A, Staten Island, NY 10314-3410 2012-12-16
1275832677 Shivani Verma Internal Medicine 1332 Rockland Ave, Staten Island, NY 10314-4928 2011-03-24
1902127814 Francesco Rotatori Internal Medicine 1058 Forest Ave, Staten Island, NY 10310-2419 2010-06-15
1366624744 Mumtaz Jafri Internal Medicine 1366 Victory Blvd Ste B, Staten Island, NY 10301-3907 2007-11-28
1508927013 Antonio Caracta Internal Medicine 491 Bard Ave, Staten Island, NY 10310-2103 2006-12-12
1417031949 Abdul Wadood Ansari Internal Medicine 74 Ocean Ter, Staten Island, NY 10314-5650 2006-10-24
1114972718 Andrew C Przybyla Internal Medicine 5 Crafton Ave, Staten Island, NY 10314 2006-05-23
1760457113 Ayman E. Farid Internal Medicine 5091 Amboy Road, Staten Island, NY 10312 2006-02-21
1083696686 Staten Island Heart P.C. Internal Medicine 501 Seaview Ave., Ste 300, Staten Island, NY 10305-3436 2005-11-18
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Competitor

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City STATEN ISLAND
Zip Code 10301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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