Individual
ELIZABETH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 W 26TH ST, 6TH FLOOR, NEW YORK, NY 10010-1006
(212) 696-1550
Mailing address
37 W 26TH ST, 6TH FLOOR, NEW YORK, NY 10010-1006
(212) 696-1550
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02850677
—
NY
Enumeration date
09/30/2016
Last updated
09/30/2016
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