Individual
MRS. JACQUELINE MIRIAM MARGARETEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MERRICK RD STE 128, ROCKVILLE CENTRE, NY 11570-4821
(516) 255-9031
Mailing address
100 MERRICK RD #128, ROCKVILLE CENTRE, NY 11570
(516) 255-9031
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
025966
NY
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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