Individual
DR. INGMAR GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
370 LEXINGTON AVE, NEW YORK, NY 10017-6503
(929) 428-0600
Mailing address
39 WILSON AVE # 2F, BROOKLYN, NY 11237-1933
(772) 240-8907
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023021
NY
Other
Enumeration date
05/22/2015
Last updated
12/27/2024
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