MEDICARE: DR. MARGARET ELIZABETH ROSS M.D., PH.D.

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	174H00000X	Health Educator	231070	NY

General Provider Information

NPI Number	:	1992250963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET ELIZABETH ROSS M.D., PH.D.

Provider Business Mailing Address
First Line	:	413 E 69TH ST
Second Line	:	BOX 240
City	:	NEW YORK
State	:	NY
Zip	:	10021-5608
Country	:	US
Telephone Number	:	646-962-6141
Fax Number	:	646-962-0104

Provider Business Practice Location Address
First Line	:	413 E 69TH ST
Second Line	:	BOX 240
City	:	NEW YORK
State	:	NY
Zip	:	10021-5608
Country	:	US
Telephone Number	:	646-962-6141
Fax Number	:	646-962-0104

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

Provider Enumeration Date	:	08/19/2016
Last Update Date	:	08/19/2016

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