Individual
CASEY MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 HOSPITAL RD, EAST PATCHOGUE, NY 11772-4870
(631) 654-7100
Mailing address
469 MAIN ST, COLD SPRING HARBOR, NY 11724-1408
(631) 721-5009
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
033433
NY
Other
Enumeration date
02/28/2025
Last updated
03/05/2025
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