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NPI Code Detail

MEDICARE: CYNTHIA MCCORMACK LCSW

MEDICARE: CYNTHIA MCCORMACK LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SL05497100NJ
21041C0700XClinical Social Worker078881NY

General Provider Information

NPI Number : 1730330770
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA MCCORMACK LCSW
Provider Business Mailing Address
First Line : 2290 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14610-2518
Country : US
Telephone Number : 585-402-6156
Fax Number :
Provider Business Practice Location Address
First Line : 2290 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14610-2518
Country : US
Telephone Number : 585-402-6156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2008
Last Update Date : 07/23/2012

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Directions to “ CYNTHIA MCCORMACK LCSW” Practice Location

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