Individual
ANN T GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,CNS
Contact information
Practice address
30 N MAIN AVE, ALBANY, NY 12203-1410
(518) 453-6750
Mailing address
30 NORTH MAIN AVENUE, ALBANY, NY 12203
(518) 453-6750
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
217143-1
NY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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