Healthcare Provider Details

I. General information

NPI: 1275987125
Provider Name (Legal Business Name): MARGARET KWAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4802 10TH AVE MAIMONIDES MEDICAL CENTER
BROOKLYN NY
11219
US

IV. Provider business mailing address

4802 10TH AVE MAIMONIDES MEDICAL CENTER
BROOKLYN NY
11219
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOP61068421
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: