Provider Demographics
NPI:1669368247
Name:MCCARTY, TAYLOR ROSE (NP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ROSE
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:ROSE
Other - Last Name:MCGINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:148 CHELSEA ST
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1651
Mailing Address - Country:US
Mailing Address - Phone:516-668-7489
Mailing Address - Fax:
Practice Address - Street 1:148 CHELSEA ST
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1651
Practice Address - Country:US
Practice Address - Phone:516-668-7489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF311837-01363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health