Individual
ASYA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2472 CONEY ISLAND AVE, BROOKLYN, NY 11223-5022
(718) 336-0900
(718) 336-0901
Mailing address
2472 CONEY ISLAND AVE, BROOKLYN, NY 11223-5022
(718) 336-0900
(718) 336-0901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051962
NY
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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