Provider Demographics
NPI:1295896843
Name:MCCARTHY, CARO E (MD)
Entity type:Individual
Prefix:DR
First Name:CARO
Middle Name:E
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EUCHARIA
Other - Middle Name:MARY
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:47 SHERWOOD GATE
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-3805
Mailing Address - Country:US
Mailing Address - Phone:516-338-0505
Mailing Address - Fax:516-338-4378
Practice Address - Street 1:55 JERICHO TURNPIKE
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-1013
Practice Address - Country:US
Practice Address - Phone:516-338-0505
Practice Address - Fax:516-338-4378
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115265208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics