Provider Demographics
NPI:1508882838
Name:SUKHRAM, MARGARET M (NP)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:SUKHRAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 210
Mailing Address - Street 2:SUNY COLLEGE AT OLD WESTBURY
Mailing Address - City:OLD WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11568-0210
Mailing Address - Country:US
Mailing Address - Phone:516-572-0123
Mailing Address - Fax:
Practice Address - Street 1:223 STORE HILL RD
Practice Address - Street 2:SUNY COLLEGE AT OLD WESTBURY, SHS
Practice Address - City:OLD WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11568-0210
Practice Address - Country:US
Practice Address - Phone:516-572-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420183-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
96V891Medicare ID - Type Unspecified
S63038Medicare UPIN