Individual
DR. KEVIN R MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 SOUTH AVE, SUITE 207, ROCHESTER, NY 14620-2740
(585) 341-6660
(585) 341-8310
Mailing address
990 SOUTH AVE, SUITE 207, ROCHESTER, NY 14620-2740
(585) 341-6660
(585) 341-8310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
203229
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
203229
NY
Other
Enumeration date
09/17/2006
Last updated
07/03/2023
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