Individual
MR. JAMES JOSEPH MCCORMICK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2315
(718) 920-4351
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2315
(718) 920-4351
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382168
NY
Other
Enumeration date
04/13/2012
Last updated
04/28/2014
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