Provider Demographics
NPI:1003052440
Name:MAMMES, MARGARET E (REGISTERED NURSE CER)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:E
Last Name:MAMMES
Suffix:
Gender:F
Credentials:REGISTERED NURSE CER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:163 BEACH 112TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694
Mailing Address - Country:US
Mailing Address - Phone:718-634-8351
Mailing Address - Fax:718-634-8351
Practice Address - Street 1:825 EAST GATE BLVD.
Practice Address - Street 2:SUITE 101B MARIAN CARE INC
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530
Practice Address - Country:US
Practice Address - Phone:516-471-8600
Practice Address - Fax:516-408-3111
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY445808-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse