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Individual

DR. MERCEDES ANITA MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
32 GRAMERCY PARK S, SUTIE 1B, NEW YORK, NY 10003-1707
(917) 363-7250
Mailing address
33 HUDSON ST, APT. 2810 EAST, JERSEY CITY, NJ 07302-6575
(917) 363-7250

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014540-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014540-1
PSYCHOLOGIST
NY
Enumeration date
12/23/2006
Last updated
07/08/2007
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