Individual
KARA SHANAY GORGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6 MARION CT, BINGHAMTON, NY 13903-6730
(607) 821-9831
Mailing address
6 MARION CT, BINGHAMTON, NY 13903-6730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2631-1
NY
Other
Enumeration date
06/29/2014
Last updated
10/26/2015
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