Individual
KERI MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 LAUREL RD, EAST NORTHPORT, NY 11731-1100
(631) 659-3337
Mailing address
15 N PEACH ST, BETHPAGE, NY 11714-3530
(516) 582-6466
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
766912131
NY
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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