Provider Demographics
NPI:1548497720
Name:PERRY, MARGARET LOUISE (LPN)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LOUISE
Last Name:PERRY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LYBOLT DRIVE
Mailing Address - Street 2:
Mailing Address - City:HUGUENOT
Mailing Address - State:NY
Mailing Address - Zip Code:12746-5211
Mailing Address - Country:US
Mailing Address - Phone:845-856-4150
Mailing Address - Fax:
Practice Address - Street 1:6 LYBOLT DRIVE
Practice Address - Street 2:
Practice Address - City:HUGUENOT
Practice Address - State:NY
Practice Address - Zip Code:12746
Practice Address - Country:US
Practice Address - Phone:845-856-4150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151222-1LICENSEDNURS251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare