MEDICARE: DR. EUGENE P MCCABE PSY.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	103T00000X	Psychologist	06361	NY

General Provider Information

NPI Number	:	1871550673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE P MCCABE PSY.D.

Provider Business Mailing Address
First Line	:	226 DALEY BLVD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-3822
Country	:	US
Telephone Number	:	585-544-7619
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 EAST AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3527
Country	:	US
Telephone Number	:	585-248-8740
Fax Number	:	585-248-8126

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	07/08/2007

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