Provider Demographics
NPI:1609522754
Name:MARGOLIN, AMY (MS, CGC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MARGOLIN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 STURTEVANT ST # MP711
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2012
Mailing Address - Country:US
Mailing Address - Phone:321-841-4505
Mailing Address - Fax:
Practice Address - Street 1:44 STURTEVANT ST # MP711
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2012
Practice Address - Country:US
Practice Address - Phone:321-841-4505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS