Healthcare Provider Details

I. General information

NPI: 1649196494
Provider Name (Legal Business Name): MS. COURTNEY O O CASHEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 BROADWAY
NEW YORK NY
10032-1559
US

IV. Provider business mailing address

14 W 88TH ST APT 4A
NEW YORK NY
10024-2507
US

V. Phone/Fax

Practice location:
  • Phone: 212-342-1000
  • Fax:
Mailing address:
  • Phone: 203-581-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number702526
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: