Healthcare Provider Details

I. General information

NPI: 1013444637
Provider Name (Legal Business Name): PEGGY ANN ESTIME MARGETSON DNP, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PEGGY ANN MARGETSON NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1644 DEER PARK AVE STE LOWER
DEER PARK NY
11729-5211
US

IV. Provider business mailing address

1644 DEER PARK AVE STE LOWER
DEER PARK NY
11729-5211
US

V. Phone/Fax

Practice location:
  • Phone: 929-788-7878
  • Fax: 347-803-1889
Mailing address:
  • Phone: 929-788-7878
  • Fax: 347-803-1889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number421288
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number421288
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number639989-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421288
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number421288
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: