Organization
CORCORAN MEDICAL REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MICHAEL CORCORAN MD (PRESIDENT)
(516) 483-2161
Entity
Organization
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6551
Mailing address
379 KILBURN RD S, GARDEN CITY, NY 11530-5311
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
187485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420199
—
NY
Enumeration date
05/31/2007
Last updated
11/29/2010
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