Provider Demographics
NPI:1679835730
Name:HINKSON, MARIA MARGUERITA
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:MARGUERITA
Last Name:HINKSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11555 223RD ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1207
Mailing Address - Country:US
Mailing Address - Phone:917-687-1664
Mailing Address - Fax:
Practice Address - Street 1:11555 223RD ST
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-1207
Practice Address - Country:US
Practice Address - Phone:917-687-1664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1329734174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist