Individual
MEGAN MARIE PANDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
84 E 2ND ST, CLIFTON, NJ 07011-1609
(973) 897-6038
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
022427
NY
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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