Organization
DRIP WITH GEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINEL GORDON NP (NURSE PRACTITIONER)
(516) 424-8646
Entity
Organization
Contact information
Practice address
53 JOHN PL, ROOSEVELT, NY 11575-1229
(516) 424-8646
Mailing address
53 JOHN PL, ROOSEVELT, NY 11575-1229
(516) 424-8646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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