Individual
THOMAS M MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1182 TROY SCHENECTADY RD, SUITE 100, LATHAM, NY 12110-1000
(518) 713-5400
(518) 713-5401
Mailing address
1182 TROY SCHENECTADY RD, SUITE 100, LATHAM, NY 12110-1000
(518) 713-5400
(518) 713-5401
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
210406
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01861581
—
NY
Enumeration date
04/20/2006
Last updated
05/21/2021
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