Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 218896-1 | NY |
NPI | 1528461530 |
---|---|
Provider Name | Dr. Margaret Russell Macdonald |
First Address | New York, NY 10065-6307 |
Second Address | New York, NY 10065-6307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2014 |
Last Update Date | 04/10/2014 |