MEDICARE: MARGARET EATON PSY.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	103TC0700X	Clinical Psychologist	8377	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013931393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET EATON PSY.D.

Provider Business Mailing Address
First Line	:	6160 DELAFIELD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1005
Country	:	US
Telephone Number	:	646-894-0094
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 W 86TH ST APT 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-4029
Country	:	US
Telephone Number	:	646-894-0094
Fax Number	:

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	02/15/2017

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