Most Relevant Information
Provider Data
| NPI Number: | 1003481367 |
| Provider Name: | DANE MCCARTHY |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 027308 |
Most Important Dates
| Enumeration Date: | 05/20/2021 |
| Last Updated: | 12/15/2021 |
Provider Practice Location
111 E 210TH ST
BRONX
NY
104672401
Practice Location Phone/Fax
| Phone: | 7189205731 |
| Fax: |
Provider Mailing Location
9905 63RD DR APT 9AA
REGO PARK
NY
113742485
Provider Mailing Phone/Fax
| Phone: | 8087536380 |
| Fax: |