Individual
ROBERT J MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
206 EAST JERICHO TURNPIKE, HUNTINGTON STATION, NY 11746
(631) 847-0200
(631) 847-3525
Mailing address
206 EAST JERICHO TURNPIKE, HUNTINGTON STATION, NY 11746
(631) 847-0200
(631) 847-3525
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002007-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970014578
RAILROAD MEDICARE
NY
01
—
P2586035
OXFORD
NY
Enumeration date
05/24/2005
Last updated
03/19/2010
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