Joan Gorham AOCNP, MSN

NPI 1043557549 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1043557549
Gender Female
Enumeration Date 01/04/2013
Last Updated 01/04/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1275 YORK AVE
NEW YORK NY, 10065-6007, US
Phone (212) 639-6920
Fax
Business Location
1606 AVALON PINES DR
CORAM NY, 11727-5141, US
Phone
Fax
Toxanomy
Taxonomy Code 363L00000X
License State New York
License Number 306300
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According to our database, Mrs. Joan Gorham AOCNP, MSN NPI is 1043557549, taxonomy code is 363L00000X and license number is 306300, license state is located at New York. Joan Gorham AOCNP, MSN physically located at 1275 York Ave, New York NY, 10065-6007. NPI Number Joan Gorham AOCNP, MSN has the Individual type.

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1043557549 NPI number is provided on an as is basis without warranty of any kind. 1043557549 is maintained by the National Plan & Provider Enumeration System. The contents of Joan Gorham AOCNP, MSN are for informational purposes only.