Provider Demographics
NPI:1548520943
Name:MAGEE, MARGARET M (RN, LMT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:MAGEE
Suffix:
Gender:F
Credentials:RN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 997
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-0019
Mailing Address - Country:US
Mailing Address - Phone:516-330-9817
Mailing Address - Fax:516-731-3587
Practice Address - Street 1:700-1 UNION PARKWAY
Practice Address - Street 2:C/O PLATINUM FITNESS
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779
Practice Address - Country:US
Practice Address - Phone:516-330-9817
Practice Address - Fax:631-337-1948
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-21
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014414225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist