Mccormack, Janice

Mccormack, Janice is an individual health care provider with primary practice located at 540 Union Blvd , West Islip NY 11795-3105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Mccormack, Janice can be contacted via phone (631) 669-2555.

Contact Information

Primary practice address
540 Union Blvd West Islip NY 11795-3105
Fax: (631) 669-3051
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 170843 New York

Profile Details

NPI number 1962480335
LBN Legal business name Mccormack, Janice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Aug 25th, 2014 - about 10 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 1962480335 NPPES
New York MEDICAID 01407634

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