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Individual

F ROBERT MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-5000
(845) 357-5777
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
164625-1
NY
207L00000X
Anesthesiology Physician
25MA05452700
NJ
207L00000X
Anesthesiology Physician
MA54527
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03372630
NY
Enumeration date
12/01/2006
Last updated
04/23/2012
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