Individual
DR. KEVIN JEFFREY O'GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
177 FORT WASHINGTON AVE FL 2, NEW YORK, NY 10032-3733
(212) 305-4275
Mailing address
177 FORT WASHINGTON AVE FL 2, NEW YORK, NY 10032-3733
(212) 305-4275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27011
MS
207RC0000X
Cardiovascular Disease Physician
Primary
323501
NY
Other
Enumeration date
04/02/2018
Last updated
06/05/2024
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