| NPI | 1447387618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P GORMAN Owner 518-563-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |