Provider Demographics
NPI:1013209949
Name:CORCORAN, CHERYL MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:MARY
Last Name:CORCORAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1051 RIVERSIDE DR
Mailing Address - Street 2:UNIT 55
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1007
Mailing Address - Country:US
Mailing Address - Phone:212-543-6177
Mailing Address - Fax:212-543-6176
Practice Address - Street 1:1051 RIVERSIDE DR
Practice Address - Street 2:UNIT 55
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1007
Practice Address - Country:US
Practice Address - Phone:212-543-6177
Practice Address - Fax:212-543-6176
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
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Provider Licenses
StateLicense IDTaxonomies
NY213979-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry