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Organization
PETER G. GORMAN DCPC
Active
Organization
PETER G. GORMAN DCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA GORMAN (SECRETARY TREASURER)
(845) 628-4900
Entity
Organization
Contact information
Practice address
11 MILLER RD, MAHOPAC, NY 10541-2219
(845) 628-4900
Mailing address
PO BOX 873, MAHOPAC, NY 10541-0873
(845) 628-4900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0002504.1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02504.1
NYS WORKERS COMPENSATION
NY
Enumeration date
11/28/2006
Last updated
08/22/2020
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