Provider Demographics
NPI:1902188998
Name:MUCCIA, MARGARET (OTR)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:MUCCIA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BOWMAN AVE
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2808
Mailing Address - Country:US
Mailing Address - Phone:914-934-7925
Mailing Address - Fax:
Practice Address - Street 1:113 BOWMAN AVE
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2808
Practice Address - Country:US
Practice Address - Phone:914-934-7925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002245-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist