Individual
DR. KIERAN CHARLES GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17935 HILLSIDE AVE, JAMAICA, NY 11432-4631
(718) 262-0220
(718) 262-0221
Mailing address
40 HARRISON ST, APT 15K, NEW YORK, NY 10013-2742
(516) 241-8839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010219
NY
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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