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Contact Information

THOMAS M MCCORMACK, MD
1182 TROY SCHENECTADY RD
SUITE 100
LATHAM, NY12110-1000
 Phone: 518-713-5400
 Fax: 518-713-5401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THOMAS M MCCORMACK · (Male)

NPI Number 1508821596
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2006
Last updated 05/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 210406
  • NY Medicaid 01861581
Hospital affiliation(s)
  • COLUMBIA MEMORIAL HOSPITAL - (Acute Care)
    71 PROSPECT AVENUE
    HUDSON, NY 12534
  • SAMARITAN HOSPITAL - (Acute Care)
    2215 BURDETT AVENUE
    TROY, NY 12180
  • ST PETER'S HOSPITAL - (Acute Care)
    315 SOUTH MANNING BOULEVARD
    ALBANY, NY 12208
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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