Provider Demographics
NPI:1558471912
Name:PASCUAL, MARGARITA C (MD)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:C
Last Name:PASCUAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2552 STEINWAY ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3777
Mailing Address - Country:US
Mailing Address - Phone:718-777-6695
Mailing Address - Fax:718-777-2387
Practice Address - Street 1:2552 STEINWAY ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3777
Practice Address - Country:US
Practice Address - Phone:718-777-6695
Practice Address - Fax:718-777-2387
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111490207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00200642Medicaid
NY00200642Medicaid