Provider Demographics
NPI:1972691210
Name:MCDONNELL, MARGARET P (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:P
Last Name:MCDONNELL
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 1:155 LAWN AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-1816
Mailing Address - Country:US
Mailing Address - Phone:716-875-2904
Mailing Address - Fax:716-875-6717
Practice Address - Street 1:4233 LAKE AVE
Practice Address - Street 2:
Practice Address - City:BLASDELL
Practice Address - State:NY
Practice Address - Zip Code:14219-1216
Practice Address - Country:US
Practice Address - Phone:716-875-2904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160095-1207V00000X
NY169905-01207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000504757005OtherBC/BS
NY01093865Medicaid
NY00010114401OtherUNIVERA
NY040426000579OtherFIDELIS
NY000504757004OtherBC/BS
NY0705750OtherINDEPENDENT HEALTH
NY0068981OtherGHI PPO
NY150543-CKOtherPREFERRED CARE
NY82601OtherGHI HMO
RB3516Medicare PIN
NY0705750OtherINDEPENDENT HEALTH