| Office Of Kieran Gorman Dc Pc | |
|
17935 Hillside Ave, Jamaica, NY 11432-4631 | |
| (718) 262-0220 | |
| Not Available |
| Full Name | Office Of Kieran Gorman Dc Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 17935 Hillside Ave, Jamaica, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093952954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X010219 (New York) | Primary |
| Provider Name | Kieran C Gorman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831302637 PECOS PAC ID: 0345303426 Enrollment ID: I20090115000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Office Of Kieran Gorman Dc Pc 17935 Hillside Ave, Jamaica, NY 11432-4631 Ph: (718) 262-0220 | Office Of Kieran Gorman Dc Pc 17935 Hillside Ave, Jamaica, NY 11432-4631 Ph: (718) 262-0220 |
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