Individual
MR. CIARAN PATRICK CORMICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED
Contact information
Practice address
33 ROGERS PL, FLORAL PARK, NY 11001-1727
(646) 593-2011
Mailing address
33 ROGERS PL, FLORAL PARK, NY 11001-1727
(646) 593-2011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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