Provider Demographics
NPI:1669477675
Name:BRADY, MARGARET V (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:V
Last Name:BRADY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 FRIENDS RD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4312
Mailing Address - Country:US
Mailing Address - Phone:914-962-6546
Mailing Address - Fax:718-960-3806
Practice Address - Street 1:2050 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4143
Practice Address - Country:US
Practice Address - Phone:914-962-5533
Practice Address - Fax:914-962-5532
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331581363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01909177Medicaid
NYS85306Medicare UPIN
NY91N321Medicare ID - Type Unspecified