National Provider Identifier
Michael J Maggiulli, MD
Michael J Maggiulli, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Batavia, NY and a listed phone number of (585) 815-6760.
Profile Overview
- NPI
- 1114015633
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 10, 2006
- Last Updated
- October 29, 2019
Practice Location
- 16 Bank St
- Batavia, NY 14020-2250
Phone: (585) 815-6760
Mailing Address
- 6966 W Bergen
- Bergen, NY 14416
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1114015633
- Entity Type
- Individual
- Last Name
- Maggiulli
- First Name
- Michael
- Middle Name
- J
- Credential
- MD
- Mailing Street Address
- 6966 W Bergen
- Mailing City
- Bergen
- Mailing State
- NY
- Mailing ZIP Code
- 14416
- Mailing Country
- US
- Mailing Phone
- (585) 494-1300
- Mailing Fax
- (585) 494-1132
- Practice Street Address
- 16 Bank St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-2250
- Practice Country
- US
- Practice Phone
- (585) 815-6760
- Practice Fax
- (585) 344-7370
- Enumeration Date
- October 10, 2006
- Last Updated
- October 29, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 0108596 (Independent Health), 0793 (Univera), MDA129 (Preferred Care), P010134751 (Ripa), P010134751 (Excellus), 0000508058001 (Bc Bs Of Wny), 04481310 (Medicade), 22180 (Empire), 7331260 (Aetna)