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Individual
DR. SHARON GORDON
Active
Individual
DR. SHARON GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0008923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01725011
—
NY
01
—
100283FC
PREFERRED CARE
NY
01
—
4657115
AETNA
NY
01
—
PO10008923
BLUE CHOICE
NY
01
—
PO20008923
BLUE CROSS BLUE SHIELD
NY
Enumeration date
03/10/2006
Last updated
10/07/2020
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