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Individual

MEGAN MCCORMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
17 BUCKLEY ST UNIT 2, LIBERTY, NY 12754-1704
(845) 747-5600
(845) 747-5700
Mailing address
17 BUCKLEY ST UNIT 2, LIBERTY, NY 12754-1704
(845) 747-5600

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
637111
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402745
NY

Other

Enumeration date
12/09/2014
Last updated
12/02/2025
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