Organization
BODY BY YASHI GORDON RPN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASHI GORDON (OWNER)
(718) 913-2365
Entity
Organization
Contact information
Practice address
18808 JAMAICA AVE, HOLLIS, NY 11423-2556
(718) 913-2365
Mailing address
18808 JAMAICA AVE, HOLLIS, NY 11423-2556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/28/2025
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