Individual
EMILY BECCA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
54 ACKERMAN ST, BEACON, NY 12508-2826
(914) 806-6701
Mailing address
54 ACKERMAN ST, BEACON, NY 12508-2826
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
3022470
NY
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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