Individual
ELIZABETH ANNE MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-0100
Mailing address
447 E PENN ST, LONG BEACH, NY 11561-4439
(631) 603-7664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
346457
NY
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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