Individual
JOHANNA MARIE MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
127 NORTH ST., BATAVIA, NY 14020
(585) 768-4670
Mailing address
7 BELVEDERE LN, BATAVIA, NY 14020-1715
(585) 344-2280
(585) 344-4243
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560716001
BLUE CROSS WNY
NY
05
—
02299970
—
NY
01
—
NP0516
PREFERRED CARE
NY
01
—
P019303476
BLUE CHOICE
NY
Enumeration date
05/31/2005
Last updated
02/14/2017
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