Provider Demographics
NPI:1912194259
Name:PAUL CATHCART, MD PC
Entity Type:Organization
Organization Name:PAUL CATHCART, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CATHCART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-228-5265
Mailing Address - Street 1:1849 ROUTE 6
Mailing Address - Street 2:P.O. BOX 1320
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-2316
Mailing Address - Country:US
Mailing Address - Phone:845-228-5265
Mailing Address - Fax:845-228-5268
Practice Address - Street 1:1849 ROUTE 6
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-2316
Practice Address - Country:US
Practice Address - Phone:845-228-5265
Practice Address - Fax:845-228-5268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137996174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA63224Medicare UPIN