Individual
ELIZABETH MARY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 VALLEY RD, BRONXVILLE, NY 10708-2224
(347) 210-0818
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590461
LICENSE
NY
Enumeration date
03/28/2011
Last updated
04/09/2025
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