Individual
MR. ANDREW E MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
800 LONG POND RD, ROCHESTER, NY 14612-3012
(585) 966-4108
Mailing address
800 LONG POND RD, ROCHESTER, NY 14612-3012
(585) 966-4108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007186-1
NY
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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