Provider Demographics
NPI:1134756588
Name:MCCARTHY, ALLISON S A (LMT)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:S A
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2905
Mailing Address - Country:US
Mailing Address - Phone:917-747-6874
Mailing Address - Fax:
Practice Address - Street 1:43 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2905
Practice Address - Country:US
Practice Address - Phone:917-747-6874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032157225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist