Individual
BRIAN H MARGOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
373 ROUTE 111 STE 5, SMITHTOWN, NY 11787-4759
(631) 360-8481
(631) 360-0849
Mailing address
373 ROUTE 111 STE 5, SMITHTOWN, NY 11787-4759
(631) 360-8481
(631) 360-0849
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
151667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00964925
—
NY
Enumeration date
08/01/2006
Last updated
10/24/2019
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