Individual
MARGARET STATILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 GRACE CHURCH ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC., PORT CHESTER, NY 10573-4911
(914) 937-8899
Mailing address
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, INC., OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-0993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331543-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02041490
—
NY
Enumeration date
12/15/2006
Last updated
12/07/2011
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