Provider Demographics
NPI:1689620593
Name:REMINGTON, MARGOT M (MD)
Entity Type:Individual
Prefix:
First Name:MARGOT
Middle Name:M
Last Name:REMINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 PUBLIC SQ
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-2674
Mailing Address - Country:US
Mailing Address - Phone:315-786-8408
Mailing Address - Fax:315-786-6368
Practice Address - Street 1:53 PUBLIC SQ
Practice Address - Street 2:SUITE 202
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-2674
Practice Address - Country:US
Practice Address - Phone:315-786-8408
Practice Address - Fax:315-786-6368
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211434207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01876360Medicaid
NYBB1304Medicare ID - Type Unspecified
NY01876360Medicaid