Healthcare Provider Details

I. General information

NPI: 1205963451
Provider Name (Legal Business Name): WOODS MCCAHILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CHURCH ST
LAKE PLACID NY
12946-1805
US

IV. Provider business mailing address

203 OLD MILITARY RD
LAKE PLACID NY
12946-1738
US

V. Phone/Fax

Practice location:
  • Phone: 518-523-1717
  • Fax: 518-523-8340
Mailing address:
  • Phone: 518-523-1717
  • Fax: 518-523-8340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number138729
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: