Provider Demographics
NPI:1053083121
Name:CHEYNE, MARGARET KATHERINE WILLS
Entity Type:Individual
Prefix:
First Name:MARGARET KATHERINE
Middle Name:WILLS
Last Name:CHEYNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 GATES AVE # 2A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-1306
Mailing Address - Country:US
Mailing Address - Phone:443-244-2465
Mailing Address - Fax:
Practice Address - Street 1:362 GATES AVE # 2A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-1306
Practice Address - Country:US
Practice Address - Phone:443-244-2465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program