Individual
CAROLYN MARIE CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1083 DELAWARE AVE, BUFFALO, NY 14209-1674
(716) 882-1023
Mailing address
1083 DELAWARE AVE, BUFFALO, NY 14209-1674
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
025488
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
025488
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2018
Last updated
08/31/2020
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