Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD 29431 | OR |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 258296 | NY |
NPI | 1790942001 |
---|---|
Provider Name | Dr. Elizabeth T Mccormick |
First Address | New York, NY 10087-8082 |
Second Address | New York, NY 10029-6508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 28/10/2014 |