Provider Demographics
NPI:1386674331
Name:ALBANESE, MARGARET R (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:R
Last Name:ALBANESE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1903 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-5617
Mailing Address - Country:US
Mailing Address - Phone:315-797-1212
Mailing Address - Fax:315-797-1537
Practice Address - Street 1:1903 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-5617
Practice Address - Country:US
Practice Address - Phone:315-797-1212
Practice Address - Fax:315-797-1537
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154303207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY200045568OtherRAILROAD MEDICARE
NY00772812Medicaid
NY00772812Medicaid
NYB82266Medicare UPIN