Provider Demographics
NPI:1861508459
Name:MARIANI, MARGARET A (CRNA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:MARIANI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CONSULATE DR
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-2410
Mailing Address - Country:US
Mailing Address - Phone:914-337-7463
Mailing Address - Fax:
Practice Address - Street 1:226 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2917
Practice Address - Country:US
Practice Address - Phone:914-684-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196079-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR50033Medicare ID - Type UnspecifiedID #