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Individual

DR. JAMES ANTONIO GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
11341 FARMERS BLVD, SAINT ALBANS, NY 11412-2425
(914) 258-7547
Mailing address
11341 FARMERS BLVD, SAINT ALBANS, NY 11412-2425
(914) 258-7547

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
JG71501X
MS
101YP1600X
Pastoral Counselor
Primary
JG719654D
MS

Other

Enumeration date
09/25/2014
Last updated
09/25/2014
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