Provider Demographics
NPI:1790942589
Name:CONNOLLY, MARGARET ANASTASIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANASTASIA
Last Name:CONNOLLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1559
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0989
Mailing Address - Country:US
Mailing Address - Phone:631-444-0650
Mailing Address - Fax:
Practice Address - Street 1:11 TH FLOOR HEALTH SCIENCES CTR
Practice Address - Street 2:STONY BROOK CHILDREN'S HOSPITAL
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8111
Practice Address - Country:US
Practice Address - Phone:631-444-7884
Practice Address - Fax:631-444-8968
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2015-04-21
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Provider Licenses
StateLicense IDTaxonomies
NY257913208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics