Provider Demographics
NPI:1629023395
Name:BANK, MARGARET S (RNC MSN FNP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:S
Last Name:BANK
Suffix:
Gender:F
Credentials:RNC MSN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ONTARIO STREET
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472
Mailing Address - Country:US
Mailing Address - Phone:585-624-2121
Mailing Address - Fax:585-624-7283
Practice Address - Street 1:23 ONTARIO STREET
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472
Practice Address - Country:US
Practice Address - Phone:585-624-2121
Practice Address - Fax:585-624-7283
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330345207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01806913Medicaid
14287DMedicare ID - Type Unspecified