Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 217158 | NY |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 217158-1 | NY |
NPI | 1356354252 |
---|---|
Provider Name | Haroutyoun Margossian |
First Address | Staten Island, NY 10309-3552 |
Second Address | Brooklyn, NY 11209-1811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 27/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02092919 | (05) | NY |
H04360 | (02) | NY |
P00275614 | MEDICARE RAILROAD (01) | NY |