Provider Demographics
NPI:1710931514
Name:MCGRAW, RICHARD (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:MCGRAW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 SOUTHDOWN RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-1721
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:292A HERRICKS RD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-1119
Practice Address - Country:US
Practice Address - Phone:516-877-0011
Practice Address - Fax:516-877-0511
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214487208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY105837OtherVYTRA
NY7841065OtherAETNA
NY113517780OtherMAGNACARE
NY2I0301OtherEMPIRE BC/BS
NYP1883412OtherOXFORD
NY113517780OtherHORIZON
NY3545446-003OtherCIGNA
NY113517780OtherUHC-EMPIRE PLAN
NY2300761OtherUHC-GOVERMENT
NY2701081OtherGHI