Individual provider · Type 1 NPI

Jacob Mago

Student in an Organized Health Care Education/Training Program · Albany, NY

NPI number 1992265573 Active

Practice location

47 New Scotland Avenue, Dept. Of General Surgery
Albany, NY 12208

Call (518) 262-3095 Map

Mailing address

47 New Scotland Ave Dept General
Albany, NY 12208-3412

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X64192 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992265573

Jacob Mago's National Provider Identifier is 1992265573, issued on Mar 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albany, NY. The record was last updated on Mar 21, 2019.