Provider Demographics
NPI:1164518700
Name:MARGULIES, PETER ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ALAN
Last Name:MARGULIES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ARISTA DRIVE
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4905
Mailing Address - Country:US
Mailing Address - Phone:516-220-8010
Mailing Address - Fax:631-425-0349
Practice Address - Street 1:16 ARISTA DRIVE
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-4905
Practice Address - Country:US
Practice Address - Phone:516-220-8010
Practice Address - Fax:631-425-0349
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002528111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor