Provider Demographics
NPI:1750578233
Name:MARGIOTTA, DENISE (NP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:MARGIOTTA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 YORK AVENUE
Mailing Address - Street 2:MEMORIAL SLOAN KETTERING CANCER CENTER M-17
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-639-2852
Mailing Address - Fax:212-717-3132
Practice Address - Street 1:1275 YORK AVENUE
Practice Address - Street 2:MEMORIAL SLOAN KETTERING CANCER CENTER M-17
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-639-2852
Practice Address - Fax:212-717-3132
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF4302441363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care