Provider Demographics
NPI:1407833296
Name:HUPPUCH, MARGARET LOGAN (FNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LOGAN
Last Name:HUPPUCH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3439
Mailing Address - Country:US
Mailing Address - Phone:914-941-8362
Mailing Address - Fax:914-773-3561
Practice Address - Street 1:861 BEDFORD RD
Practice Address - Street 2:PACE UNIVERSITY HEALTH CARE
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2700
Practice Address - Country:US
Practice Address - Phone:914-773-3760
Practice Address - Fax:914-773-3561
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily