Provider Demographics
NPI:1942749551
Name:MARGIOTTA, ILONA (LMSW)
Entity type:Individual
Prefix:MS
First Name:ILONA
Middle Name:
Last Name:MARGIOTTA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 W 33RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2601
Mailing Address - Country:US
Mailing Address - Phone:212-367-1000
Mailing Address - Fax:212-367-1527
Practice Address - Street 1:332 ROGERS AVE
Practice Address - Street 2:B7
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-2951
Practice Address - Country:US
Practice Address - Phone:914-263-8173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099021104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker