Provider Demographics
NPI:1720390032
Name:MCMACKIN, MARGARET (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MCMACKIN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 PARK AVE S FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7390
Mailing Address - Country:US
Mailing Address - Phone:212-786-7705
Mailing Address - Fax:
Practice Address - Street 1:451 PARK AVE S FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7390
Practice Address - Country:US
Practice Address - Phone:212-786-7705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF354968-01363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY508750OtherREGISTERED NURSE