Provider Demographics
NPI:1538228804
Name:ABOODY, MARY MEGAN FISHER (PA)
Entity type:Individual
Prefix:MS
First Name:MARY MEGAN
Middle Name:FISHER
Last Name:ABOODY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:5800 3RD AVE
Mailing Address - Street 2:MANAGED CARE DEPARTMENT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3702
Mailing Address - Country:US
Mailing Address - Phone:718-630-7477
Mailing Address - Fax:718-630-7437
Practice Address - Street 1:150 55TH ST
Practice Address - Street 2:LMC DEPARTMENT OF HEMATOLOGY AND ONCOLOGY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2559
Practice Address - Country:US
Practice Address - Phone:718-630-6564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2020-03-27
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Provider Licenses
StateLicense IDTaxonomies
NY009290363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant