Individual
BRENDA T GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SKYLINE DR, HAWTHORNE, NY 10532-2152
(914) 347-5990
(914) 347-5236
Mailing address
7 JORDAN LN, ARDSLEY, NY 10502-1313
(917) 806-4780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
738723
NY
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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