Provider Demographics
NPI:1265531883
Name:MCGARRY, AMY E (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:E
Last Name:MCGARRY
Suffix:
Gender:F
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:PO BOX 141
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801
Mailing Address - Country:US
Mailing Address - Phone:518-798-9985
Mailing Address - Fax:518-761-7043
Practice Address - Street 1:154 WARREN STREET
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801
Practice Address - Country:US
Practice Address - Phone:518-798-9985
Practice Address - Fax:518-761-7043
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214647208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY060422000004OtherFIDELIS
NY50948OtherGHI/HMO
NY10047194OtherCDPHP
NY200208OtherSENIOR WHOLE HEALTH
NY29720OtherMVP
NY000Y51OtherEMPIRE BC
NY02129371OtherMEDICAID
NY000497365001OtherBSNENY
NY7177618OtherAETNA