Provider Demographics
NPI:1881686988
Name:CARLEY, MARGARET R (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:R
Last Name:CARLEY
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 1:76 BIRCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-1835
Mailing Address - Country:US
Mailing Address - Phone:518-786-1274
Mailing Address - Fax:
Practice Address - Street 1:76 BIRCHWOOD LN
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1835
Practice Address - Country:US
Practice Address - Phone:518-786-1274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146377207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00823152Medicaid
NYB82443Medicare UPIN
NYRA2929Medicare ID - Type Unspecified