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Organization
RODRICO GORDON NP IN ADULT HEALTH PLLC
Active
Organization
RODRICO GORDON NP IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODRICO GORDON (OWNER)
(929) 329-7900
Entity
Organization
Contact information
Practice address
19019 LINDEN BLVD # 18, JAMAICA, NY 11412-3361
(929) 329-7900
(646) 631-9188
Mailing address
13517 217TH ST, LAURELTON, NY 11413-1929
(929) 329-7900
(646) 631-9188
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
10/13/2026
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