Individual
MRS. OXANA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3101 OCEAN PKWY, BROOKLYN, NY 11235-8440
(718) 946-2481
Mailing address
1948 BERGEN AVE, BROOKLYN, NY 11234-5886
(917) 612-2318
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306859-1
NY
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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