Provider Demographics
NPI:1861649824
Name:MAIER, MARGARET DOROTHY (RN,BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:DOROTHY
Last Name:MAIER
Suffix:
Gender:F
Credentials:RN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-3157
Mailing Address - Country:US
Mailing Address - Phone:631-567-0874
Mailing Address - Fax:631-567-0874
Practice Address - Street 1:291 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-3157
Practice Address - Country:US
Practice Address - Phone:631-567-0874
Practice Address - Fax:631-567-0874
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY399804-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse