Individual
DR. VERNA MACCORNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
120 E 75TH ST, NEW YORK, NY 10021-3240
(212) 744-8778
Mailing address
239 CENTRAL PARK W, NEW YORK, NY 10024-6038
(212) 744-8778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6686
NY
103T00000X
Psychologist
6686
NY
103TA0700X
Adult Development & Aging Psychologist
6686
NY
103TC0700X
Clinical Psychologist
6686
NY
103TP0814X
Psychoanalysis Psychologist
Primary
6686
NY
106H00000X
Marriage & Family Therapist
6686
NY
Other
Enumeration date
03/29/2007
Last updated
09/21/2009
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