Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 295887 | NY |
NPI | 1073909750 |
---|---|
Provider Name | Dr. Margaret Ophelia Pearce |
First Address | Stony Brook, NY 11794-0001 |
Second Address | Stony Brook, NY 11794-1664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2015 |
Last Update Date | 02/07/2021 |