Provider Demographics
NPI:1205963451
Name:MCCAHILL, WOODS (MD)
Entity type:Individual
Prefix:DR
First Name:WOODS
Middle Name:
Last Name:MCCAHILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 OLD MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:NY
Mailing Address - Zip Code:12946-1738
Mailing Address - Country:US
Mailing Address - Phone:518-523-1717
Mailing Address - Fax:518-523-8340
Practice Address - Street 1:29 CHURCH ST
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:NY
Practice Address - Zip Code:12946-1805
Practice Address - Country:US
Practice Address - Phone:518-523-1717
Practice Address - Fax:518-523-8340
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138729207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00656304Medicaid
NYAM9567631OtherDEA
NY00656304Medicaid
NY70138AMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NYA70139Medicare PIN