Individual
ELIZABETH M MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 YARMOUTH RD, EAST ROCKAWAY, NY 11518-2418
(516) 305-0344
Mailing address
255 EXECUTIVE DR STE LL105, PLAINVIEW, NY 11803-1718
(516) 576-2040
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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