Provider Demographics
NPI:1679270367
Name:DODENHOFF, MARGARET A (RN)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:DODENHOFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 RIVENDELL CT
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-5331
Mailing Address - Country:US
Mailing Address - Phone:516-884-0959
Mailing Address - Fax:
Practice Address - Street 1:206 RIVENDELL CT
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-5331
Practice Address - Country:US
Practice Address - Phone:516-884-0959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY448192163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse