Individual
MRS. TRICIA CECILE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
247-11 UNION TURNPIKE, BELLEROSE, NY 11426
(917) 299-0983
Mailing address
143-66 232ND STREET, SPRINGFIELD GARDENS, NY 11413
(917) 299-0983
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004428-1
NY
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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