Individual
DR. CODY F GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
63 HUDSON STREET, SOUTH GLENS FALLS, NY 12803-4945
(518) 792-2187
(518) 792-2188
Mailing address
286 CHURCH STREET, ATTN BONNIE IN CREDENTIALING, SARATOGA SPRINGS, NY 12866-9208
(518) 584-8150
(518) 584-8751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0-62475
NY
Other
Enumeration date
05/05/2021
Last updated
12/10/2024
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