Individual
DR. MAUREEN A KILLACKEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3909
(607) 547-6325
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3909
(607) 547-6325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
141020
NY
207VX0201X
Gynecologic Oncology Physician
141020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00842140
—
NY
Enumeration date
04/17/2006
Last updated
09/11/2025
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