Provider Demographics
NPI:1578779757
Name:DISABATO, MEGHAN (ANP)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:
Last Name:DISABATO
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:MCSORLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:530 1ST AVE
Mailing Address - Street 2:HCC 14 NYU MEDICAL CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-0980
Mailing Address - Fax:212-263-0941
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:HCC 14 NYU MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-0980
Practice Address - Fax:212-263-0941
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303409363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health