Individual
RYAN JAMES GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 MADISON CT, WALLKILL, NY 12589-3006
(845) 418-9151
Mailing address
8 MADISON CT, WALLKILL, NY 12589-3006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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