Provider Demographics
NPI:1093907297
Name:JURAK, MARGARITA (MD)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:JURAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:45 RESEARCH WAY
Mailing Address - Street 2:UNIVERSITY ASSOCIATES OBGYN
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-6401
Mailing Address - Country:US
Mailing Address - Phone:631-615-8279
Mailing Address - Fax:631-350-7200
Practice Address - Street 1:320 MONTAUK HWY
Practice Address - Street 2:SOUTH BAY OB/GYN, P.C.
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4401
Practice Address - Country:US
Practice Address - Phone:631-587-2500
Practice Address - Fax:631-587-0292
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY245617207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology