Mary Lou Corcoran in Fayetteville - Physical Therapist

Mary Lou Corcoran - NPI 1750327763

Mary Lou Corcoran is a Physical Therapist in Fayetteville, New York. Mary Lou Corcoran practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mary Lou Corcoran is 1750327763. The last update date is 2010-06-29.

Mary Lou Corcoran's current location address is 510 Towne Dr, Fayetteville, New York. You can contact this provider via phone number 3156374747 and fax number 3156376711. The mailing address for Mary Lou Corcoran is 510 Towne Dr, Fayetteville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Lou Corcoran
Address 510 Towne Dr, Fayetteville, New York
Phone Number 3156374747
Fax Number 3156376711
Sole Proprietor Y
Credentials PT

NPI Number Detail

NPI Number 1750327763
Provider Enumeration Date 2006-06-20
Last Updated Date 2010-06-29

Provider Mailing Address Detail

Address 510 Towne Dr
City Fayetteville
State New York (NY)
Post Code 130661331
Phone Number 3156374747
Fax Number 3156376711

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 006344-1
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
955322 NY MVP
161303109 NY CIGNA
151870 NY BSCNY
921742001 NY HEALTHNOW NY
161303109 NY UNITED HEALTHCARE
5056028 NY AETNA

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FAQs about Mary Lou Corcoran

What is the unique identifier code issued to Mary Lou Corcoran by the Centers for Medicare & Medicaid Services?

The Mary Lou Corcoran has been assigned the NPI (National Provider Identifier) 1750327763. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mary Lou Corcoran?

The Mary Lou Corcoran is physically situated at 510 Towne Dr, in the city of Fayetteville, state of NY, with the postal code 130661331.

What is Mary Lou Corcoran's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Lou Corcoran is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1750327763 to Mary Lou Corcoran?

The Mary Lou Corcoran received its 1750327763 assignment from the Centers for Medicare & Medicaid Services on 2006-06-20.

As of what date were the Mary Lou Corcoran's details last updated?

The information pertaining to the Mary Lou Corcoran, including its address, specialty, and other details, was most recently updated on 2010-06-29.

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