Basic Information
Provider Information
NPI: 1124332689
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCELRATH
FirstName: MEGHAN
MiddleName: LOUISE
NamePrefix: MS.
NameSuffix:  
Credential: D.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 238 E 77TH ST LOWR LEVEL
Address2:  
City: NEW YORK
State: NY
PostalCode: 100752108
CountryCode: US
TelephoneNumber: 2122495332
FaxNumber:  
Practice Location
Address1: 461 PARK AVE S
Address2: SUITE #802
City: NEW YORK
State: NY
PostalCode: 100166822
CountryCode: US
TelephoneNumber: 2126962727
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2010
LastUpdateDate: 12/07/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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