# CORCORAN MEDICAL REHABILITATION PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225239551
- **Authorized official:** DR. PATRICK MICHAEL CORCORAN MD (PRESIDENT)
- **Authorized official phone:** (516) 483-2161

## Contact information

- **Practice address:** 900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
- **Practice address phone:** (516) 256-6551
- **Mailing address:** 379 KILBURN RD S, GARDEN CITY, NY 11530-5311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 187485 | NY | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 11/29/2010