Individual
COLLEEN A. MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
216 LOGAN LN, CRNA - MEDICAL DOCTOR ASSOCIATES, MAHOPAC, NY 10541-3650
(888) 400-8878
(845) 621-1911
Mailing address
21 WILDWOOD EST, PLATTSBURGH, NY 12901-5002
(518) 561-2214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101-0017589
VT
367500000X
Certified Registered Nurse Anesthetist
Primary
5039101
NY
Other
Enumeration date
12/07/2005
Last updated
07/08/2007
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