Provider Demographics
NPI:1669558458
Name:MARGOLIAS, BRETT HYLTON (MD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:HYLTON
Last Name:MARGOLIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BARROW ST
Mailing Address - Street 2:APT. 5G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3861
Mailing Address - Country:US
Mailing Address - Phone:917-747-2330
Mailing Address - Fax:
Practice Address - Street 1:9 BARROW ST
Practice Address - Street 2:APT. 5G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3861
Practice Address - Country:US
Practice Address - Phone:917-747-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227320-1207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI00326Medicare UPIN
NY916V61Medicare ID - Type Unspecified