Organization
CHAMPLAIN VALLEY PATHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC B GORMAN M.D. (PRESIDENT/OWNER)
(518) 562-7128
Entity
Organization
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 562-7128
(518) 561-6325
Mailing address
PO BOX 309, PLATTSBURGH, NY 12901-0309
(518) 562-7128
(518) 561-6325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
245122
NY
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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