MEDICARE: ARYEH L MARGOLIS

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	101YM0800X	Mental Health Counselor	37PC005506000	NJ

General Provider Information

NPI Number	:	1144069329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARYEH L MARGOLIS

Provider Business Mailing Address
First Line	:	12 GENESEE PL
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-1124
Country	:	US
Telephone Number	:	732-664-0949
Fax Number	:

Provider Business Practice Location Address
First Line	:	545 E COUNTY LINE RD # 17A
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-1487
Country	:	US
Telephone Number	:	732-664-0949
Fax Number	:

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

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	05/20/2024

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Directions to “ ARYEH L MARGOLIS ” Practice Location

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