Provider Demographics
NPI:1851326896
Name:MCGOLDRICK, KATHRYN E (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:E
Last Name:MCGOLDRICK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:95 GRASSLANDS ROAD
Mailing Address - Street 2:MACY PAVILION, 2ND FLOOR
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-7692
Mailing Address - Fax:914-493-7927
Practice Address - Street 1:95 GRASSLANDS ROAD
Practice Address - Street 2:MACY PAVILION, 2ND FLOOR
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-7692
Practice Address - Fax:914-493-7927
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY168884207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB72790Medicare UPIN