MEDICARE: HAROUTYOUN MARGOSSIAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	217158	NY
2	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	217158-1	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00275614	OTHER	NY	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356354252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROUTYOUN MARGOSSIAN MD

Provider Business Mailing Address
First Line	:	25 HASTINGS CT
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-3552
Country	:	US
Telephone Number	:	718-836-9579
Fax Number	:	718-836-9638

Provider Business Practice Location Address
First Line	:	7206 NARROWS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-1811
Country	:	US
Telephone Number	:	718-836-9579
Fax Number	:	718-836-9638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	02/27/2014

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Directions to “ HAROUTYOUN MARGOSSIAN MD” Practice Location

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