Individual
MEAGAN MARY J DEARDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E 41ST ST FL 7, NEW YORK, NY 10017-6739
(646) 501-4449
Mailing address
215 E 79TH ST APT 11F, NEW YORK, NY 10075-0065
(315) 708-5995
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
311408
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
311408
NY
Other
Enumeration date
08/05/2024
Last updated
03/26/2025
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