Individual
MS. AMY L. CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 448-5111
Mailing address
5 TEASEL LN, SKANEATELES, NY 13152-1346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01627316
—
NY
Enumeration date
05/10/2006
Last updated
10/24/2024
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