Individual
DANE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5731
Mailing address
9905 63RD DR APT 9AA, REGO PARK, NY 11374-2485
(808) 753-6380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027308
NY
Other
Enumeration date
05/20/2021
Last updated
12/15/2021
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