Healthcare Provider Details

I. General information

NPI: 1861309023
Provider Name (Legal Business Name): MAEVE CLARE CONNAUGHTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROOSEVELT PL
SCARSDALE NY
10583-5909
US

IV. Provider business mailing address

211 COUNTRY CLUB RD
HOPEWELL JUNCTION NY
12533-6282
US

V. Phone/Fax

Practice location:
  • Phone: 914-721-2700
  • Fax:
Mailing address:
  • Phone: 845-591-4423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: