Individual
ALLISON GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E 23RD ST, NEW YORK, NY 10010-4606
(212) 505-3640
Mailing address
120 E 34TH ST, APT 5F, NEW YORK, NY 10016-4609
(732) 996-6420
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
686892
NY
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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