Provider Demographics
NPI:1326273939
Name:BRIAN MARGOLIS, M.D. AND ANTHONY SPADARO, M.D., L.L.P.
Entity Type:Organization
Organization Name:BRIAN MARGOLIS, M.D. AND ANTHONY SPADARO, M.D., L.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:631-360-8481
Mailing Address - Street 1:373 ROUTE 111 STE 5
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-4759
Mailing Address - Country:US
Mailing Address - Phone:631-360-8481
Mailing Address - Fax:631-360-0849
Practice Address - Street 1:373 ROUTE 111 STE 5
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-4759
Practice Address - Country:US
Practice Address - Phone:631-360-8481
Practice Address - Fax:631-360-0849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty