Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 292534 | NY |
NPI | 1043638489 |
---|---|
Provider Name | Benjamin Margolis |
First Address | Albany, NY 12208-3835 |
Second Address | Albany, NY 12208-3835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2014 |
Last Update Date | 05/10/2021 |