Provider Demographics
NPI:1063594760
Name:VAUGHAN, MARGARET ELAINE (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELAINE
Last Name:VAUGHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-232-7588
Practice Address - Street 1:111 BEDFORD RD
Practice Address - Street 2:CAREMOUNT MEDICAL PC
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2115
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-232-7588
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2025-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY215939207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02361104Medicaid
NY0667910001OtherDME
NY0667910001OtherDME
NY112AH06761Medicare PIN