Mckay, Douglas James

Mckay, Douglas James is an sole proprietor health care provider with primary practice located at 4106 Hylan Blvd Fl 2 , Staten Island NY 10308-3335. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Mckay, Douglas James can be contacted via phone (718) 984-5544.

Contact Information

Primary practice address
4106 Hylan Blvd Fl 2 Staten Island NY 10308-3335
Phone: (718) 984-5544
Fax: (718) 984-9564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD002553 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N005453 New York

Profile Details

NPI number 1962428789
LBN Legal business name Mckay, Douglas James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jan 23rd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962428789 NPPES
New Jersey Other 5947110002 DMERC REGION A
New Jersey MEDICAID 7988605 DMERC REGION A

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