Provider Demographics
NPI:1295982155
Name:DEMARINIS, MARGARET (LPN)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:DEMARINIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:LUBRANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:383 ROUTE 164
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-6112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 OLD ROUTE 6
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-2107
Practice Address - Country:US
Practice Address - Phone:845-225-5202
Practice Address - Fax:845-225-0700
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1260731164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01420800Medicaid
NY01420795Medicaid