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Organization
OFFICE OF KIERAN GORMAN DC PC
Active
Organization
OFFICE OF KIERAN GORMAN DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIERAN GORMAN D.C. (DOCTOR)
(718) 262-0220
Entity
Organization
Contact information
Practice address
17935 HILLSIDE AVE, JAMAICA, NY 11432-4631
(718) 262-0220
Mailing address
17935 HILLSIDE AVE, JAMAICA, NY 11432-4631
(718) 262-0220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010219
NY
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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