Provider Demographics
NPI:1093704595
Name:MCCAFFREY, JOSEPH F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:MCCAFFREY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:27 FENNELL ST
Mailing Address - Street 2:SUITE B #299
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152
Mailing Address - Country:US
Mailing Address - Phone:315-253-3632
Mailing Address - Fax:315-253-3632
Practice Address - Street 1:4206 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 206
Practice Address - City:FAYETTEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13066
Practice Address - Country:US
Practice Address - Phone:315-329-7770
Practice Address - Fax:315-329-7772
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2010-09-13
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Provider Licenses
StateLicense IDTaxonomies
NY143680208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00592434Medicaid
NY00592434Medicaid
NYBA0547Medicare ID - Type Unspecified