Provider Demographics
NPI:1497953541
Name:GALVIN, MARGARET ANN (MS NP BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:GALVIN
Suffix:
Gender:F
Credentials:MS NP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 STATION CT
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-2453
Mailing Address - Country:US
Mailing Address - Phone:631-803-8400
Mailing Address - Fax:
Practice Address - Street 1:128 OLD TOWN RD
Practice Address - Street 2:SUITE C & D
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733
Practice Address - Country:US
Practice Address - Phone:631-689-5390
Practice Address - Fax:631-689-5395
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2015-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF4009751363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner