Mccormack, Joann

Mccormack, Joann is an individual health care provider with primary practice located at 17 Willow St , Selden NY 11784-2807. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mccormack, Joann can be contacted via phone (631) 732-6701.

Contact Information

Primary practice address
17 Willow St Selden NY 11784-2807
Phone: (631) 732-6701
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 541724-1 New York

Profile Details

NPI number 1356672232
LBN Legal business name Mccormack, Joann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2010
Last updated Jan 16th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356672232 NPPES
New York MEDICAID 541724-1

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