Provider Demographics
NPI:1982817482
Name:O'DONNELL, MARGARET MARION (ANP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARION
Last Name:O'DONNELL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:945 UNION ST
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-2114
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:185 MERRICK RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2700
Practice Address - Country:US
Practice Address - Phone:516-593-3535
Practice Address - Fax:516-792-1536
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301555-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health