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1700879087
JACK M GORMAN
NEW YORK, NY
NPI
1700879087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 134700)
Enumeration Date
2005-08-23
Last Update Date
2007-07-08
Business Address
-- JACK M GORMAN MD
1425 MADISON AVE BOX 1230
NEW YORK, NY 10029
Phone number: 212-659-8763
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Mailing Address
-- JACK M GORMAN MD
2700 ARLINGTON AVE
BRONX, NY 10463
Phone number: 718-601-2927
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