Provider Demographics
NPI:1679507990
Name:LIBENSON, MARGO (MS,OTR,CHT)
Entity type:Individual
Prefix:MRS
First Name:MARGO
Middle Name:
Last Name:LIBENSON
Suffix:
Gender:F
Credentials:MS,OTR,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 TRIANGLE CTR STE 215
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4100
Mailing Address - Country:US
Mailing Address - Phone:914-962-5413
Mailing Address - Fax:
Practice Address - Street 1:40 TRIANGLE CTR STE 215
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4100
Practice Address - Country:US
Practice Address - Phone:914-962-5413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ64522Medicare ID - Type Unspecified