Individual
MR. CASEY M. MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA5230
MA
363AS0400X
Surgical Physician Assistant
Primary
018287
NY
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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