Provider Demographics
NPI:1609036813
Name:MCCARTHY, MAUREEN A (CNM)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:A
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:516 ROUTE 303
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-1352
Mailing Address - Country:US
Mailing Address - Phone:845-359-4991
Mailing Address - Fax:845-359-4994
Practice Address - Street 1:516 ROUTE 303
Practice Address - Street 2:SUITE 4
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1352
Practice Address - Country:US
Practice Address - Phone:845-359-4991
Practice Address - Fax:845-359-4994
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY000329367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife