Individual
CAITLYN MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
79 MACON AVE, STATEN ISLAND, NY 10312-2073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019339
NY
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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