Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 1745441 | NY |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 1745441 | NY |
NPI | 1326080987 |
---|---|
Provider Name | Dr. Franz Margono |
First Address | Albany, NY 12212-4890 |
Second Address | Slingerlands, NY 12159-9221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 04/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01370685 | (05) | NY |
F28598 | (02) | NY |