Provider Demographics
NPI:1679537450
Name:ALTEMUS, MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:ALTEMUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 MADISON AVE
Mailing Address - Street 2:PH2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0172
Mailing Address - Country:US
Mailing Address - Phone:646-209-6277
Mailing Address - Fax:212-794-3614
Practice Address - Street 1:1044 MADISON AVE
Practice Address - Street 2:PH2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0172
Practice Address - Country:US
Practice Address - Phone:646-209-6277
Practice Address - Fax:212-794-3614
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2052262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE62690Medicare UPIN
NY5T7961Medicare PIN