Mary Patricia Odoherty, LPN is a
Licensed Practical Nurse based in Kew Gardens Hills, New York. Mary Patricia Odoherty is licensed to practice in New York (license number 239868-1) and her current practice location is
13665 68th Dr, Kew Gardens Hills, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 897-1581.
NPI number for Mary Patricia Odoherty is 1356654792 and her current mailing address is 13665 68th Drive, Kew Gardens Hills, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356654792.
Provider's Profile
| Full Name | Mary Patricia Odoherty |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 13665 68th Dr, Kew Gardens Hills, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356654792
- Provider Enumeration Date: 07/14/2010
- Last Update Date: 07/14/2010
Medical Identifiers
Medical identifiers for Mary Patricia Odoherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356654792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 239868-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Patricia Odoherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Patricia Odoherty, LPN
13665 68th Drive,
Kew Gardens Hills, NY 11367
Ph: (718) 897-1581 | Mary Patricia Odoherty, LPN
13665 68th Dr,
Kew Gardens Hills, NY 11367-1619
Ph: (718) 897-1581 |
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