Provider Demographics
NPI:1326772476
Name:COTTONE, MARGO MARIA
Entity Type:Individual
Prefix:
First Name:MARGO
Middle Name:MARIA
Last Name:COTTONE
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 1:3 VALENCIA ISLE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07849-2226
Mailing Address - Country:US
Mailing Address - Phone:973-525-4813
Mailing Address - Fax:
Practice Address - Street 1:40 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1404
Practice Address - Country:US
Practice Address - Phone:201-843-5218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00527600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37AC00527600OtherMARRIAGE AND FAMILY THERAPY