Provider Demographics
NPI:1104001981
Name:JOSEPH F. MCCAFFREY, M.D. PC
Entity Type:Organization
Organization Name:JOSEPH F. MCCAFFREY, M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-329-7770
Mailing Address - Street 1:27 FENNELL ST # B-299
Mailing Address - Street 2:
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-1158
Mailing Address - Country:US
Mailing Address - Phone:315-329-7770
Mailing Address - Fax:
Practice Address - Street 1:27 FENNELL ST # B-299
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-1158
Practice Address - Country:US
Practice Address - Phone:315-329-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-30
Last Update Date:2007-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY143680261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA0547Medicare PIN