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Individual
MICHAEL S MCCORMICK
Active
Individual
MICHAEL S MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
189460-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01853130
—
NY
Enumeration date
05/25/2006
Last updated
03/09/2011
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