Provider Demographics
NPI:1770215014
Name:CHAUNCEY, MARGOT ROSARIA (RN, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:MARGOT
Middle Name:ROSARIA
Last Name:CHAUNCEY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3503
Mailing Address - Country:US
Mailing Address - Phone:914-231-5065
Mailing Address - Fax:
Practice Address - Street 1:19 PINE AVE
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-3503
Practice Address - Country:US
Practice Address - Phone:914-806-6806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY737610-01163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant