Provider Demographics
NPI:1104953694
Name:MCCAULIFF, EMILIA CAROLINE (MD)
Entity type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:CAROLINE
Last Name:MCCAULIFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:215 EAST 80 STREET
Mailing Address - Street 2:SUITE # 8K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0544
Mailing Address - Country:US
Mailing Address - Phone:212-988-1562
Mailing Address - Fax:212-988-1562
Practice Address - Street 1:215 EAST 80 STREET
Practice Address - Street 2:SUITE # 8K
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0544
Practice Address - Country:US
Practice Address - Phone:212-988-1562
Practice Address - Fax:212-988-1562
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY187302207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G85300Medicare UPIN
NY53N791Medicare ID - Type Unspecified