Individual
KATHLEEN M MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
515 ABBOTT RD, BUFFALO, NY 14220-1700
(716) 828-2775
(716) 828-3473
Mailing address
515 ABBOTT RD, BUFFALO, NY 14220-1700
(716) 828-2775
(716) 828-3473
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026553102
UNIVERA
NY
01
—
000560107001
BLUE CROSS OF WNY
NY
01
—
040426001221
FIDELIS
NY
01
—
9512021
INDEPENDENT HEALTH
NY
Enumeration date
07/24/2006
Last updated
12/07/2011
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