Provider Demographics
NPI:1104150127
Name:GARRAMONE, MARGARET A (FNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:GARRAMONE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 MAIN STREET
Mailing Address - Street 2:SUITE ONC
Mailing Address - City:ONCONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820
Mailing Address - Country:US
Mailing Address - Phone:607-433-0277
Mailing Address - Fax:607-432-1184
Practice Address - Street 1:460 MAIN STREET
Practice Address - Street 2:SUITE ONC
Practice Address - City:ONCONTA
Practice Address - State:NY
Practice Address - Zip Code:13820
Practice Address - Country:US
Practice Address - Phone:607-433-0277
Practice Address - Fax:607-432-1184
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336059-1363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology