Individual
KATELYN E MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3980 SHERIDAN DR, SUITE 200, AMHERST, NY 14226-1727
(716) 250-2000
(716) 250-2040
Mailing address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 250-6035
(716) 250-2040
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3048291
NY
Other
Enumeration date
07/21/2008
Last updated
02/14/2017
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