Individual
MRS. PATRICIA C MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1550 RICHMOND AVE, STATEN ISLAND, NY 10314-1578
(718) 698-9572
(718) 698-9573
Mailing address
1550 RICHMOND AVE, STATEN ISLAND, NY 10314-1578
(718) 698-9572
(718) 698-9573
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
161216
NY
207N00000X
Dermatology Physician
25MA04075800
NJ
Other
Enumeration date
09/29/2006
Last updated
05/28/2013
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