Mccormack, Brian

Mccormack, Brian is an individual health care provider with primary practice located at 2500 Nesconset Hwy Bldg 18A , Stony Brook NY 11790-2563. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Mccormack, Brian can be contacted via phone (516) 313-6949.

Contact Information

Primary practice address
2500 Nesconset Hwy Bldg 18A Stony Brook NY 11790-2563
Phone: (516) 313-6949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Endodontics 1223E0200X 054959-1 New York

Profile Details

NPI number 1619110996
LBN Legal business name Mccormack, Brian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2009
Last updated Jun 7th, 2012 - about 12 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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