Individual
MRS. AVIGAYL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
663 BRANCH BLVD, CEDARHURST, NY 11516-1042
(646) 573-0316
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23 008697
NY
Other
Enumeration date
05/29/2008
Last updated
04/12/2021
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