Individual
COURTNEY MARIE GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
55 OAK ST, BINGHAMTON, NY 13905-4627
(772) 713-0083
Mailing address
50 FRONT ST APT 215, BINGHAMTON, NY 13905-4731
(772) 713-0083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063330
NY
Other
Enumeration date
04/23/2022
Last updated
08/17/2023
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