Individual
TIFFANIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
50 CLINTON ST STE 601, HEMPSTEAD, NY 11550-4282
(516) 933-0485
Mailing address
50 CLINTON ST STE 601, HEMPSTEAD, NY 11550-4282
(516) 933-0485
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
700298-1
NY
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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