Mary Lou Corcoran Pt, P.C.

LBN: Mary Lou Corcoran Pt, P.C.
Mary Lou Corcoran Pt, P.C. is an health care organization with primary practice located at 6711 Towpath Rd Ste 100 , East Syracuse NY 13057-9509. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Mary Lou Corcoran Pt, P.C. can be contacted via phone (315) 637-4747, or through Corcoran, Mary Lou via phone (315) 637-4747.

Contact Information

Primary practice address
6711 Towpath Rd Ste 100 East Syracuse NY 13057-9509
Phone: (315) 637-4747
Fax: (315) 637-6711
Website:
Map and Directions
Authorized official contact:
Name: Corcoran, Mary Lou Physical Therapist (PT)
Phone: (315) 637-4747

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 006344-1 New York

Profile Details

NPI number 1699780338
LBN Legal business name Mary Lou Corcoran Pt, P.C.
DBA Doing business as
Authorized official Corcoran, Mary Lou Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jun 1st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699780338 NPPES
New York MEDICAID AU96

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