Individual
DR. EDWARD D MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
242 MASON AVE, STATEN ISLAND, NY 10305-3408
(718) 226-6262
(718) 226-6531
Mailing address
1 EDGEWATER ST, 6TH FL. PAYER RELATIONS, STATEN ISLAND, NY 10305-4900
(718) 226-1008
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
173828
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182498
—
NY
01
—
370017381
RAILROAD MEDICARE
NY
Enumeration date
11/22/2005
Last updated
07/17/2008
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