Provider Demographics
NPI:1639148000
Name:GOLDIN DENIO, MARGARET (PA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:GOLDIN DENIO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:GOLDIN DENIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:47 NEW SCOTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3412
Mailing Address - Country:US
Mailing Address - Phone:518-262-3773
Mailing Address - Fax:518-262-3236
Practice Address - Street 1:47 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:518-262-3773
Practice Address - Fax:518-262-3236
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001237-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS55555Medicare UPIN
NYBB0813Medicare ID - Type Unspecified