Basic Information
| Provider Information | |||||||||
| NPI: | 1851326896 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCGOLDRICK | ||||||||
| FirstName: | KATHRYN | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 95 GRASSLANDS ROAD | ||||||||
| Address2: | MACY PAVILION, 2ND FLOOR | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10595 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937692 | ||||||||
| FaxNumber: | 9144937927 | ||||||||
| Practice Location | |||||||||
| Address1: | 95 GRASSLANDS ROAD | ||||||||
| Address2: | MACY PAVILION, 2ND FLOOR | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10595 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937692 | ||||||||
| FaxNumber: | 9144937927 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 168884 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.