Individual
BIRDIE MAY NASH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13 CLEVELAND ST, JOS-EL CARE AGENCY, VALLEY STREAM, NY 11580
(516) 902-6851
Mailing address
1854 FREEMAN AVE, ELMONT, NY 11003
(516) 902-6851
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
297850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02744594
—
NY
Enumeration date
06/26/2008
Last updated
06/26/2008
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