Individual
HOLLY OATIS GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
207 E 84TH ST, NEW YORK, NY 10028-2972
(646) 754-3300
Mailing address
207 E 84TH ST, NEW YORK, NY 10028-2972
(646) 754-3300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305378-1
NY
Other
Enumeration date
07/27/2010
Last updated
06/06/2022
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