| Jonathan H Gorman DDS LLC | |
|
984 N Broadway Suite 504 Yonkers NY 10701-1318 | |
| (914) 963-1460 | |
| Not Available |
| Full Name | Jonathan H Gorman DDS LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 984 N Broadway, Yonkers, New York |
| Authorized Official Name and Position | Jonathan Gorman (MANAGER) |
| Authorized Official Contact | 9149631460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan H Gorman DDS LLC 984 N Broadway Suite 504 Yonkers NY 10701-1318 | Jonathan H Gorman DDS LLC 984 N Broadway Suite 504 Yonkers NY 10701-1318 Ph: (914) 963-1460 |
| NPI Number | 1487195913 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487195913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 054502 (New York) | Primary |
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