Provider Demographics
NPI:1962642272
Name:MARGRIT E. HUMBURG
Entity Type:Organization
Organization Name:MARGRIT E. HUMBURG
Other - Org Name:MH HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGRIT
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUMBURG
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:914-669-5734
Mailing Address - Street 1:76 COVE RD
Mailing Address - Street 2:PO 160
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560-1334
Mailing Address - Country:US
Mailing Address - Phone:914-669-5734
Mailing Address - Fax:914-669-5734
Practice Address - Street 1:76 COVE RD
Practice Address - Street 2:PO 160
Practice Address - City:NORTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10560-0160
Practice Address - Country:US
Practice Address - Phone:914-669-5734
Practice Address - Fax:914-669-5734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122702-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health