Individual
HAROUTYOUN MARGOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7206 NARROWS AVE, BROOKLYN, NY 11209-1811
(718) 836-9579
(718) 836-9638
Mailing address
25 HASTINGS CT, STATEN ISLAND, NY 10309-3552
(718) 836-9579
(718) 836-9638
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
217158
NY
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
217158-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02092919
—
NY
01
—
P00275614
MEDICARE RAILROAD
NY
Enumeration date
08/14/2006
Last updated
02/27/2014
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