Individual
NANCY E MCCORMICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
215 COUNTY HIGHWAY 128, GLOVERSVILLE, NY 12078-4806
(518) 773-2508
(518) 773-8511
Mailing address
41 ARTERIAL PLZ, GLOVERSVILLE, NY 12078-2512
(518) 775-9554
(518) 773-7747
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0114421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000492126001
BSN ENLY
NY
01
—
000581300
BC UTICA
NY
05
—
00527239
—
NY
Enumeration date
10/28/2005
Last updated
08/10/2020
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