Mccormack, Leah S
Mccormack, Leah S is an individual health care provider with primary practice located at 11020 73 Road 1G, Forest Hills NY 11375-6362. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mccormack, Leah S can be contacted via phone (718) 261-4300.Contact Information
Primary practice address
11020 73 Road 1G
Forest Hills NY 11375-6362
Phone: (718) 261-4300
Fax: (718) 268-3012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 157445 | New York |
Profile Details
| NPI number | 1942378179 |
|---|---|
| LBN Legal business name | Mccormack, Leah S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942378179 | NPPES |
| Other | 21D441 | EMPIRE BCBS | |
| Other | 0061681 | EMPIRE BCBS |
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