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Organization
NORTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
Active
Organization
NORTH SHORE FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J CORCORAN PA (PHYSICIAN ASSISTANT)
(516) 562-0100
Entity
Organization
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
(516) 562-1395
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
(516) 562-1395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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