Individual
CHRISTINE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 POPLAR CIR, PEEKSKILL, NY 10566-4124
(914) 736-1639
Mailing address
26 POPLAR CIR, PEEKSKILL, NY 10566-4124
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1743471
NY
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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