MEDICARE: MARGARET LIBBY, 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	207Q00000X	Family Medicine Physician	173735	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0102554	OTHER	IHA
2	040426003525	OTHER	FIDELIS
3	000510537001	OTHER	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	00020500201	OTHER	UNIVERA

General Provider Information

NPI Number	:	1952430720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET LIBBY, MD

Provider Business Mailing Address
First Line	:	1382 QUAKER RD
Second Line	:
City	:	BARKER
State	:	NY
Zip	:	14012-9605
Country	:	US
Telephone Number	:	716-795-3155
Fax Number	:	716-795-3013

Provider Business Practice Location Address
First Line	:	1382 QUAKER RD
Second Line	:
City	:	BARKER
State	:	NY
Zip	:	14012-9605
Country	:	US
Telephone Number	:	716-795-3155
Fax Number	:	716-795-3013

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARGARET A LIBBY
Credential	:	M.D.
Telephone Number	:	716-795-3155

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	08/22/2020

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