Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Meagan Marie O'Doherty, R-PA-C

Individual provider Surgical Physician Assistant · NPI 1770855363

Miss. Meagan Marie O'Doherty, R-PA-C is a Surgical Physician Assistant in Manhasset, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

300 Community Dr Attn: Surgery Dept
Manhasset, NY 11030-3816
Phone: (516) 562-2822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 015400 (NY)

Record details

NPI number1770855363
Entity typeIndividual (Type 1)
GenderFemale
Credentials R-PA-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2012
Last updated in NPPESJanuary 30, 2012

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