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General NPI Number Information
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NPI Number | 1790646271
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Entity Type | Organization
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Legal Business Name | LAURA CORCORAN NP IN PSYCHIATRY
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 200 ATLANTIC AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-3505
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Country | US
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Telephone | 516-494-7504
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Fax | 516-531-8544
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Provider Business Mailing Address
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Address Line | 6 EVERETT ST
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City | LYNBROOK
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State | NY
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Zip | 11563-3231
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Country | US
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Telephone | 516-494-7504
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Fax | 516-531-8544
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Authorized Official
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Title or Position | NURSE PRACTITIONER IN PSYCHIATRY
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Name | LAURA KATHERINE CORCORAN
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Credential | PMHNP
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Telephone | 516-382-4407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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