Provider Demographics
NPI:1528405255
Name:ABBASI, MEREDITH KATHLEEN (PNP)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:KATHLEEN
Last Name:ABBASI
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Gender:F
Credentials:PNP
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 656
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-922-4240
Mailing Address - Fax:585-922-5980
Practice Address - Street 1:1445 PORTLAND AVE STE 309
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3008
Practice Address - Country:US
Practice Address - Phone:585-922-4240
Practice Address - Fax:585-922-5980
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2023-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY382378363LP0200X
NYF382378-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics