Individual
DR. MARTIN PATRICK MCGRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
984 N BROADWAY STE 502, YONKERS, NY 10701-1308
(914) 966-0809
(914) 966-1573
Mailing address
984 N BROADWAY STE 502, YONKERS, NY 10701-1308
(914) 966-0809
(914) 966-1573
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
N004477
NY
213E00000X
Podiatrist
N004477
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N004477
NY
213ER0200X
Radiology Podiatrist
N004477
NY
213ES0000X
Sports Medicine Podiatrist
N004477
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N004477
NY
213ES0131X
Foot Surgery Podiatrist
Primary
N004477
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01178129
—
NY
01
—
P00102468
RAIL ROAD MEDICARE
NY
01
—
P5102
BLUCROSS BLUE SHIELD,
NY
01
—
PH055
BLUE CROSS BLUE SHEILD
NY
Enumeration date
03/13/2007
Last updated
06/22/2012
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