Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N005602 | NY |
NPI | 1023017688 |
---|---|
Provider Name | Dr. Jonathan Howard Margolin |
First Address | Teaneck, NJ 07666-3234 |
Second Address | Teaneck, NJ 07666-3234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 13/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02339068 | (05) | NY |
U90979 | (02) | NY |