Corcoran, Vincent Augustine

Corcoran, Vincent Augustine is an individual health care provider with primary practice located at 855 Route 146 Ste 150 , Clifton Park NY 12065-3874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Corcoran, Vincent Augustine can be contacted via phone (518) 373-4555.

Contact Information

Primary practice address
855 Route 146 Ste 150 Clifton Park NY 12065-3874
Phone: (518) 373-4555
Fax: (518) 371-3839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 228503 New York

Profile Details

NPI number 1053378729
LBN Legal business name Corcoran, Vincent Augustine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Mar 25th, 2021 - about 3 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 1053378729 NPPES
New York MEDICAID 02393319

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