Individual
ELAINE MARY MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
STONY BROOK SOUTHAMPTON HOSPITAL, 240 MEETING HOUSE LANE, SOUTHAMPTON, NY 11968
(631) 726-8200
Mailing address
825 SILVER PINE DR, ST AUGUSTINE, FL 32092-3243
(631) 946-2664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
025598
NY
363A00000X
Physician Assistant
Primary
9115601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025598
NEW YORK STATE PHYSICIAN ASSISTANT LICENSE
NY
Enumeration date
09/09/2020
Last updated
02/13/2026
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