Individual
ALBERT H GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2631 MERRICK RD STE 302, BELLMORE, NY 11710-5784
(516) 590-7575
Mailing address
21 BENNETT AVE APT 63, NEW YORK, NY 10033-3609
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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