Provider Demographics
NPI:1477815900
Name:DUBLIN, MARGARET MARY
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:DUBLIN
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 1:20 KNOLLWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3215
Mailing Address - Country:US
Mailing Address - Phone:516-208-3153
Mailing Address - Fax:
Practice Address - Street 1:20 KNOLLWOOD RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3215
Practice Address - Country:US
Practice Address - Phone:516-208-3153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1440000X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist