Provider Demographics
NPI:1578695003
Name:MONROE, MARGARET (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:MONROE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:MATTES
Other - Last Name:GARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:11 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 204 PO.BOX #115
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3559
Mailing Address - Country:US
Mailing Address - Phone:845-354-1944
Mailing Address - Fax:845-354-0189
Practice Address - Street 1:11 MEDICAL PARK DR
Practice Address - Street 2:SUITE 204
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3559
Practice Address - Country:US
Practice Address - Phone:845-354-1944
Practice Address - Fax:845-354-0189
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6023225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133501750OtherFEDERAL TAX ID
NY6023OtherPHYSICAL THERAPY LICENSE
NYRS082OtherOXFORD HEALTH INS. ID
NY133501750OtherFEDERAL TAX ID