Individual
CLAUDETTE CORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9715 64TH RD, REGO PARK, NY 11374-2250
(718) 459-5592
(718) 459-6047
Mailing address
11905 233RD ST, CAMBRIA HEIGHTS, NY 11411-2229
(718) 644-2628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
398230
NY
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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