Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N004477 | NY |
N | 222Z00000X | Podiatrist | N004477 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N004477 | NY |
N | 111NR0200X | Radiology | N004477 | NY |
N | 213ER0200X | Radiology | N004477 | NY |
N | 2081S0010X | Sports Medicine | N004477 | NY |
N | 213ES0000X | Sports Medicine | N004477 | NY |
N | 213ES0103X | Foot & Ankle Surgery | N004477 | NY |
Y | 213ES0131X | Foot Surgery | N004477 | NY |
NPI | 1134252059 |
---|---|
Provider Name | Dr. Martin Patrick Mcgrath |
First Address | Yonkers, NY 10701-1308 |
Second Address | Yonkers, NY 10701-1308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 22/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01178129 | (05) | NY |
P00102468 | RAIL ROAD MEDICARE (01) | NY |
P5102 | BLUCROSS BLUE SHIELD, (01) | NY |
PH055 | BLUE CROSS BLUE SHEILD (01) | NY |
U-18039 | (02) | NY |