Maryann Elizabeth McCormack, MSPT
Individual provider Active NPI Physical Therapist · East Quogue, NY
NPI 1346378759 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346378759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 002358 (NY)
- Practice address
- 1 Longview Dr
East Quogue, NY 11942-3611 - Phone
- (631) 653-4214
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002358 | NY | Yes |
Addresses
Primary practice location
1 Longview Dr
East Quogue, NY 11942-3611
Mailing address
1 Longview Dr
East Quogue, NY 11942-3611
Phone (631) 653-4214
Other providers in East Quogue, NY
- Lifelong Rehab Enterprises
- Lifelong Rehab Inc
- Sabrina Grace Mackenzie
- Patricia Ann Mann Bower
- Margaret Mary Massa
- Patrick McKenna
- Christine Ann Merrihew
- Dorothy A Morgan
- Victoria A. Mulvey
- Stacey Naglieri
All providers in East Quogue, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.