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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIESHA MCCORMICK, HAIR LOSS SPECIALIST

Active Sole Proprietor

MIESHA MCCORMICK, HAIR LOSS SPECIALIST is a Physical Therapist Assistant healthcare provider located in BAY SHORE, New York. NPI 1912413774 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · BAY SHORE, NY

Registration Details

NPI Number
1912413774
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2017 (8.6864008827293 yrs)
Last Updated
Dec 15, 2017
Sole Proprietor
Yes

Practice Information

Address
876 SUNRISE HWY STE 16
BAY SHORE, NY, 117065908
Browse NY providers · Browse ZIP 11706
Phone
6315220548
Primary Specialty
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.