Healthcare Provider Details

I. General information

NPI: 1013258375
Provider Name (Legal Business Name): RONALD M. MARGOLIES, D.M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 03/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ROCKAWAY AVE SUITE 204
HEWLETT NY
11557-1665
US

IV. Provider business mailing address

1800 ROCKAWAY AVE SUITE 204
HEWLETT NY
11557-1665
US

V. Phone/Fax

Practice location:
  • Phone: 516-593-2100
  • Fax: 516-593-3134
Mailing address:
  • Phone: 516-593-2100
  • Fax: 516-593-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number029237
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD M MARGOLIES
Title or Position: OWNER
Credential: D.M.D.
Phone: 516-593-2100