Individual
ZACHARY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W 97TH ST APT 5E, NEW YORK, NY 10025-9223
(786) 200-1287
Mailing address
10554 SUNSET ISLES CT, BOYNTON BEACH, FL 33437-4273
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009741
NY
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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