Organization
SUSAN G. MARGOLIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GAIL MARGOLIS MD (PRESIDENT)
(212) 751-5414
Entity
Organization
Contact information
Practice address
340 E 49TH ST, NEW YORK, NY 10017-1697
(212) 751-5414
(212) 751-5434
Mailing address
340 E 49TH ST, NEW YORK, NY 10017-1697
(212) 751-5414
(212) 751-5434
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
185693
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00969264
—
NY
01
—
1558397505
NPI INDIVIDUAL PROVIDER
—
Enumeration date
01/10/2012
Last updated
01/10/2012
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