Individual provider · Type 1 NPI

Katherine Magoon, MD

Pediatric Nurse Practitioner · New York, NY

NPI number 1710296629 Active

Practice location

555 Broome St
New York, NY 10013-1510

Fax (212) 941-9614

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF382163-1 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1710296629

Katherine Magoon, MD's National Provider Identifier is 1710296629, issued on Sep 27, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Nov 13, 2025.