Individual
KORI L MCCAULIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 WATER ST, ELIZABETHTOWN, NY 12932
(518) 873-3513
(518) 873-3863
Mailing address
PO BOX 217, ELIZABETHTOWN, NY 12932-0217
(518) 873-3513
(518) 873-3863
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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