Individual
MS. DIANNE JOAN MARIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
973 UTAH PL, WEST HEMPSTEAD, NY 11552-3916
(917) 327-4200
Mailing address
973 UTAH PL, WEST HEMPSTEAD, NY 11552-3916
(917) 327-4200
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
496373
NY
163WM0705X
Medical-Surgical Registered Nurse
496373
NY
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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