Provider Demographics
NPI:1013992007
Name:MARGULIES, MARIS K (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIS
Middle Name:K
Last Name:MARGULIES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 MADISON AVE
Mailing Address - Street 2:SUITE 2302
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5403
Mailing Address - Country:US
Mailing Address - Phone:212-755-5100
Mailing Address - Fax:718-224-8395
Practice Address - Street 1:515 MADISON AVE
Practice Address - Street 2:SUITE 2302
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5403
Practice Address - Country:US
Practice Address - Phone:212-755-5100
Practice Address - Fax:718-224-8395
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000215231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist