Provider Demographics
NPI:1952563447
Name:STEVEN A MCCORMICK MD PC
Entity Type:Organization
Organization Name:STEVEN A MCCORMICK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:HARTWYK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:212-979-4156
Mailing Address - Street 1:PO BOX 1279
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-8948
Mailing Address - Country:US
Mailing Address - Phone:212-979-4156
Mailing Address - Fax:212-677-1284
Practice Address - Street 1:310 E 14TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4201
Practice Address - Country:US
Practice Address - Phone:212-979-4156
Practice Address - Fax:212-677-1284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW18331Medicare PIN