=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255366704
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOSEPH F CAHALY DDS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/12/2006
-----------------------------------------------------
Last Update Date | 01/22/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 323 HEATHCOTE RD
-----------------------------------------------------
City | SCARSDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10583-7154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-450-7894
-----------------------------------------------------
Fax | 914-238-3430
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 323 HEATHCOTE RD
-----------------------------------------------------
City | SCARSDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10583-7154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-450-7894
-----------------------------------------------------
Fax | 914-238-3430
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 027427
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------