Provider Demographics
NPI:1336281187
Name:MCCARTHY, JENNIFER WRIGHT (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:WRIGHT
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 LOCK ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-3603
Mailing Address - Country:US
Mailing Address - Phone:203-432-0076
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:NEW YORK PRESBYTERIAN HOSPITAL # 133
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-4370
Practice Address - Fax:212-746-8826
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2019-10-17
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-09-19
Provider Licenses
StateLicense IDTaxonomies
NY213084207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine