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NPI Code Detail

MEDICARE: PAUL MCDONNELL CATHCART M.D.

MEDICARE: PAUL MCDONNELL CATHCART 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
12086S0129XVascular Surgery Physician137996NY

General Provider Information

NPI Number : 1902800485
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL MCDONNELL CATHCART M.D.
Provider Business Mailing Address
First Line : PO BOX 1320
Second Line :
City : CARMEL
State : NY
Zip : 10512-8320
Country : US
Telephone Number : 845-228-5265
Fax Number : 845-228-5268
Provider Business Practice Location Address
First Line : 672 STONELEIGH AVE
Second Line : SUITE C-116
City : CARMEL
State : NY
Zip : 10512-4634
Country : US
Telephone Number : 845-582-0911
Fax Number : 845-582-0922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 08/01/2012

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