Provider Demographics
NPI:1730483892
Name:MCCABE, MARK (MS)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:MCCABE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:200 DIPLOMAT DR
Mailing Address - Street 2:APARTMENT 6P
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-2006
Mailing Address - Country:US
Mailing Address - Phone:914-552-6698
Mailing Address - Fax:914-864-0663
Practice Address - Street 1:200 DIPLOMAT DR
Practice Address - Street 2:APARTMENT 6P
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2006
Practice Address - Country:US
Practice Address - Phone:914-552-6698
Practice Address - Fax:914-864-0663
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health