Provider Demographics
NPI:1144561507
Name:MCGINLEY, KATHRYN ANNE (LAC)
Entity Type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:ANNE
Last Name:MCGINLEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2152
Mailing Address - Country:US
Mailing Address - Phone:516-418-2324
Mailing Address - Fax:
Practice Address - Street 1:2555 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 1
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2152
Practice Address - Country:US
Practice Address - Phone:516-418-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004985171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist