Provider Demographics
NPI:1811388291
Name:ORDWAY, MACY ABIGAIL (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MACY
Middle Name:ABIGAIL
Last Name:ORDWAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:MACY
Other - Middle Name:ABIGAIL
Other - Last Name:BATTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 PARK ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4413
Mailing Address - Country:US
Mailing Address - Phone:518-926-3000
Mailing Address - Fax:518-926-3127
Practice Address - Street 1:100 PARK ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4413
Practice Address - Country:US
Practice Address - Phone:518-926-3000
Practice Address - Fax:518-926-3127
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018613363A00000X
NC0010-05560363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant