Basic Information
Provider Information
NPI: 1861662975
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARRERO-STEIN
FirstName: MARGOT
MiddleName: VALERIE
NamePrefix:  
NameSuffix:  
Credential: RN-PNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 503 GRASSLANDS RD
Address2: SUITE 200
City: VALHALLA
State: NY
PostalCode: 105951503
CountryCode: US
TelephoneNumber: 9143045300
FaxNumber: 9143451753
Practice Location
Address1: 503 GRASSLANDS RD
Address2: SUITE 200
City: VALHALLA
State: NY
PostalCode: 105951503
CountryCode: US
TelephoneNumber: 9143045300
FaxNumber: 9143451753
Other Information
ProviderEnumerationDate: 03/04/2008
LastUpdateDate: 03/04/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200XF381930-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


Home