Individual
MRS. AMY M GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Mailing address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009583-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02562985
—
NY
Enumeration date
08/09/2006
Last updated
09/12/2011
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