Individual
ALESSANDRA MACCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19 BRADHURST AVE, SUITE 2575, HAWTHORNE, NY 10532-2140
(914) 493-2181
Mailing address
19 BRADHURST AVE STE 3090N, HAWTHORNE, NY 10532-2143
(914) 493-2181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019207
NY
Other
Enumeration date
10/29/2015
Last updated
04/22/2025
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