Provider Demographics
NPI:1659633113
Name:MCCLUSKY, CATHLEEN ELAINE (EDD)
Entity type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:ELAINE
Last Name:MCCLUSKY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1452 ROUTE 9G
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-2172
Mailing Address - Country:US
Mailing Address - Phone:914-475-0893
Mailing Address - Fax:
Practice Address - Street 1:1452 ROUTE 9G
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-2172
Practice Address - Country:US
Practice Address - Phone:914-475-0893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist