Individual
AVA JACQUELINE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7491
(212) 423-6771
Mailing address
1901 1ST AVE, NEW YORK, NY 10029-7491
(212) 423-6771
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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