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NPI Code Detail

MEDICARE: MICHAEL G MCGRATH MD

MEDICARE: MICHAEL G MCGRATH 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
12084P0800XPsychiatry Physician160096NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952412553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL G MCGRATH MD
Provider Business Mailing Address
First Line : 81 LAKE AVE
Second Line : 3RD FLOOR
City : ROCHESTER
State : NY
Zip : 14608-1410
Country : US
Telephone Number : 585-368-6900
Fax Number : 585-423-9523
Provider Business Practice Location Address
First Line : 81 LAKE AVE
Second Line : 3RD FLOOR
City : ROCHESTER
State : NY
Zip : 14608-1410
Country : US
Telephone Number : 585-368-6900
Fax Number : 585-423-9523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/28/2015

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