Healthcare Provider Details

I. General information

NPI: 1295896843
Provider Name (Legal Business Name): CARO E MCCARTHY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EUCHARIA MARY MCCARTHY M.D.

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 JERICHO TURNPIKE
JERICHO NY
11753-1013
US

IV. Provider business mailing address

47 SHERWOOD GATE
OYSTER BAY NY
11771-3805
US

V. Phone/Fax

Practice location:
  • Phone: 516-338-0505
  • Fax: 516-338-4378
Mailing address:
  • Phone: 516-338-0505
  • Fax: 516-338-4378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number115265
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: