Individual
MR. JAMES GORMAN , JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.T.R.S.
Contact information
Practice address
64 2ND AVE, ALBANY, NY 12202-1240
(518) 449-5170
(518) 598-0493
Mailing address
21 POINT VIEW DR, EAST GREENBUSH, NY 12061-1813
(518) 451-9685
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
14386
NY
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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