Provider Demographics
NPI:1902943095
Name:MCCABE, MAUREEN PATRICIA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:PATRICIA
Last Name:MCCABE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 HUGHES PL
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1601
Mailing Address - Country:US
Mailing Address - Phone:516-739-8044
Mailing Address - Fax:
Practice Address - Street 1:149 HUGHES PL
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1601
Practice Address - Country:US
Practice Address - Phone:516-739-8044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist