Provider Demographics
NPI:1194188896
Name:MCCORMICK, PAUL CHRISTIAN (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:CHRISTIAN
Last Name:MCCORMICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:240 CENTRAL PARK S APT 2J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1435
Mailing Address - Country:US
Mailing Address - Phone:212-767-7375
Mailing Address - Fax:917-277-2176
Practice Address - Street 1:240 CENTRAL PARK S APT 2J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1435
Practice Address - Country:US
Practice Address - Phone:212-767-7375
Practice Address - Fax:917-277-2176
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2924992084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry