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Individual
KRISTIN L MCCORMACK
Active
Individual
KRISTIN L MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0243201
NY
Other
Enumeration date
03/09/2006
Last updated
07/13/2026
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