Individual
VANIA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(718) 542-0255
Mailing address
2156 CRUGER AVE APT 1G, BRONX, NY 10462-1614
(929) 442-6006
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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