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Individual

MRS. CYNTHIA R. GORGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 798-7117
Mailing address
6 MARION CT, BINGHAMTON, NY 13903-6730
(607) 724-4961

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000797-1
NY

Other

Enumeration date
12/17/2006
Last updated
07/08/2007
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