Provider Demographics
NPI:1497902597
Name:MCCARTHY, COLLEEN M (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:M
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:1275 YORK AVE RM MRI-1007
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:212-639-2000
Mailing Address - Fax:212-717-3677
Practice Address - Street 1:1275 YORK AVE RM MRI-1007
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-2000
Practice Address - Fax:212-717-3677
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2500552086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery