Provider Demographics
NPI:1205909322
Name:JOSEPH P MCCORMICK MD PC
Entity type:Organization
Organization Name:JOSEPH P MCCORMICK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-324-7240
Mailing Address - Street 1:20 ELM ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-1933
Mailing Address - Country:US
Mailing Address - Phone:607-324-7240
Mailing Address - Fax:607-324-2410
Practice Address - Street 1:20 ELM ST
Practice Address - Street 2:SUITE 6
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-1933
Practice Address - Country:US
Practice Address - Phone:607-324-7240
Practice Address - Fax:607-324-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137432174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty