Provider Demographics
NPI:1306893961
Name:LABORDE, MARGARETTE (REG RESP THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:MARGARETTE
Middle Name:
Last Name:LABORDE
Suffix:
Gender:F
Credentials:REG RESP THERAPIST
Other - Prefix:
Other - First Name:MARGARETTE
Other - Middle Name:
Other - Last Name:THEODAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 CHARTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08882
Mailing Address - Country:US
Mailing Address - Phone:732-432-0311
Mailing Address - Fax:732-432-0311
Practice Address - Street 1:227 MADISON STREET
Practice Address - Street 2:GOUVERNEUR HEALTHCARE SERVICES
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:212-238-7162
Practice Address - Fax:212-238-8090
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004073227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified