Individual
MISS MEAGAN MARIE O'DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-PA-C
Contact information
Practice address
300 COMMUNITY DR, ATTN: SURGERY DEPARTMENT, MANHASSET, NY 11030-3816
(516) 562-2822
Mailing address
300 COMMUNITY DR, ATTN: SURGERY DEPARTMENT, MANHASSET, NY 11030-3816
(516) 562-2822
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015400
NY
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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