Provider Demographics
NPI:1992250963
Name:ROSS, MARGARET ELIZABETH (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 E 69TH ST
Mailing Address - Street 2:BOX 240
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5608
Mailing Address - Country:US
Mailing Address - Phone:646-962-6141
Mailing Address - Fax:646-962-0104
Practice Address - Street 1:413 E 69TH ST
Practice Address - Street 2:BOX 240
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5608
Practice Address - Country:US
Practice Address - Phone:646-962-6141
Practice Address - Fax:646-962-0104
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231070174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator