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NPI Code Detail

MEDICARE: MARGARETTE DOUGLAS RN

MEDICARE: MARGARETTE DOUGLAS RN
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
1163WA2000XAdministrator Registered Nurse439378NY

General Provider Information

NPI Number : 1184275554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARETTE DOUGLAS RN
Provider Business Mailing Address
First Line : BRONX PSYCHIATRIC CENTER, 1500 WATERS PLACE
Second Line :
City : BRONX
State : NY
Zip : 10461-2723
Country : US
Telephone Number : 929-348-3465
Fax Number : 929-348-3182
Provider Business Practice Location Address
First Line : 1500 WATERS PL # 10461
Second Line :
City : BRONX
State : NY
Zip : 10461-2723
Country : US
Telephone Number : 929-348-3465
Fax Number : 929-348-3182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2019
Last Update Date : 09/26/2019

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