Individual
MRS. HYACINTH D GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8825 153RD ST STE 4F, JAMAICA, NY 11432-3748
(718) 523-3260
Mailing address
404 EVERGREEN AVE APT 2, BROOKLYN, NY 11221-3846
(917) 902-2220
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004032-1
NY
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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