Healthcare Provider Details

I. General information

NPI: 1033324009
Provider Name (Legal Business Name): SCARLETT KATE MCKINSEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2007
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL
NEW YORK NY
10029-6500
US

IV. Provider business mailing address

201 E 25TH ST #14J
NEW YORK NY
10010-3003
US

V. Phone/Fax

Practice location:
  • Phone: 212-659-8559
  • Fax: 212-996-9685
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number248658
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number248658
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: