Provider Demographics
NPI:1508283847
Name:TAGLIAFERRO, MARGARITE
Entity Type:Individual
Prefix:MRS
First Name:MARGARITE
Middle Name:
Last Name:TAGLIAFERRO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MARGARITE
Other - Middle Name:
Other - Last Name:RUGGIERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1983 MARCUS AVE
Mailing Address - Street 2:SUITE C118
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2000
Mailing Address - Country:US
Mailing Address - Phone:516-326-5659
Mailing Address - Fax:516-488-5934
Practice Address - Street 1:1983 MARCUS AVE
Practice Address - Street 2:SUITE C118
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2000
Practice Address - Country:US
Practice Address - Phone:516-326-5659
Practice Address - Fax:516-488-5934
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool