Individual
ANTHONY JOHN CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
259 1ST ST, RADIOLOGY, 2ND FL, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
259 1ST ST FL 2, MINEOLA, NY 11501-3957
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
11/05/2024
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