Provider Demographics
NPI:1073054375
Name:SAGSVEEN, MARGARET (DO)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:SAGSVEEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:MYONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 GRAYON DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5407
Mailing Address - Country:US
Mailing Address - Phone:631-885-3885
Mailing Address - Fax:
Practice Address - Street 1:301 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8408
Practice Address - Country:US
Practice Address - Phone:631-885-3885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310231-01207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program