MEDICARE: KATHLEEN E. MCKAY LP

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	103T00000X	Psychologist	012986	NY

General Provider Information

NPI Number	:	1992854988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN E. MCKAY LP

Provider Business Mailing Address
First Line	:	10 PEARL ST FL 2
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-4611
Country	:	US
Telephone Number	:	914-265-2762
Fax Number	:	914-653-8282

Provider Business Practice Location Address
First Line	:	10 PEARL ST FL 2
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-4611
Country	:	US
Telephone Number	:	914-265-2762
Fax Number	:	914-653-8282

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	12/04/2025

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