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1528641636
CODY F GORMAN
SOUTH GLENS FALLS, NY
NPI
1528641636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 0-62475)
Enumeration Date
2021-05-05
Last Update Date
2024-12-10
Business Address
Dr. CODY F GORMAN DDS
63 HUDSON STREET
SOUTH GLENS FALLS, NY 12803-4945
Phone number: 518-792-2187
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Mailing Address
Dr. CODY F GORMAN DDS
286 CHURCH STREET ATTN BONNIE IN CREDENTIALING
SARATOGA SPRINGS, NY 12866-9208
Phone number: 518-584-8150
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