MEDICARE: KATHLEEN ANN DELANEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	149729	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	149729	OTHER	NY	STATE LICENSE

General Provider Information

NPI Number	:	1932162666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN ANN DELANEY MD

Provider Business Mailing Address
First Line	:	4 UPHAM DOWN
Second Line	:
City	:	SHOREHAM
State	:	NY
Zip	:	11786-1454
Country	:	US
Telephone Number	:	214-794-6616
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 UPHAM DOWN
Second Line	:
City	:	SHOREHAM
State	:	NY
Zip	:	11786-1454
Country	:	US
Telephone Number	:	214-794-6616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	06/13/2023

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Directions to “ KATHLEEN ANN DELANEY MD” Practice Location

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