Individual
LEAH S MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11020 73 ROAD, 1G, FOREST HILLS, NY 11375-6362
(718) 261-4300
(718) 268-3012
Mailing address
11020 73 ROAD, 1G, FOREST HILLS, NY 11375-6362
(718) 261-4300
(718) 268-3012
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
157445
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061681
GHI
—
01
—
21D441
EMPIRE BCBS
—
Enumeration date
12/04/2006
Last updated
07/08/2007
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