Gorman, Madison Alyse

Gorman, Madison Alyse is an individual health care provider with primary practice located at 252 Islip Ave # B , Islip NY 11751-3015. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Gorman, Madison Alyse can be contacted via phone (631) 581-6800.

Contact Information

Primary practice address
252 Islip Ave # B Islip NY 11751-3015
Phone: (631) 581-6800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1215582747
LBN Legal business name Gorman, Madison Alyse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2019
Last updated Aug 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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