MEDICARE: DR. KATHLEEN A MCGRAIL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	138213	NY
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	138213	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588632756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN A MCGRAIL M.D.

Provider Business Mailing Address
First Line	:	2000 EMPIRE BLVD
Second Line	:	SUITE 120
City	:	WEBSTER
State	:	NY
Zip	:	14580-1957
Country	:	US
Telephone Number	:	585-787-2510
Fax Number	:	585-787-2533

Provider Business Practice Location Address
First Line	:	2000 EMPIRE BLVD
Second Line	:	SUITE 120
City	:	WEBSTER
State	:	NY
Zip	:	14580-1957
Country	:	US
Telephone Number	:	585-787-2510
Fax Number	:	585-787-2533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	09/11/2008

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