Individual
ASHLEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1263 E 56TH ST, BROOKLYN, NY 11234-3329
(347) 277-1144
Mailing address
1263 E 56TH ST, BROOKLYN, NY 11234-3329
(347) 277-1144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
829347
NY
164W00000X
Licensed Practical Nurse
330345
NY
Other
Enumeration date
07/17/2018
Last updated
02/02/2023
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