Healthcare Provider Details

I. General information

NPI: 1114604824
Provider Name (Legal Business Name): MARGARET REOPELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2023
Last Update Date: 07/04/2023
Certification Date: 07/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 N WESTCOTT RD STE 100
SCHENECTADY NY
12306-2014
US

IV. Provider business mailing address

641 WINNEY HILL RD
ONEONTA NY
13820-4668
US

V. Phone/Fax

Practice location:
  • Phone: 518-280-0083
  • Fax:
Mailing address:
  • Phone: 315-480-4329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number001964
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-38496
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: