Provider Demographics
NPI:1356685473
Name:UKMAN, MARGARITA (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:
Last Name:UKMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:344 3RD AVE
Mailing Address - Street 2:APT 7A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2397
Mailing Address - Country:US
Mailing Address - Phone:314-724-5961
Mailing Address - Fax:646-895-9500
Practice Address - Street 1:6829 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-7234
Practice Address - Country:US
Practice Address - Phone:718-821-4424
Practice Address - Fax:718-802-1113
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30305581363LP2300X
NYF305581363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1356685473OtherNPI
NYA400223557OtherMEDICARE
NY05110430Medicaid