Individual
MRS. MONIQUE DEFREITAS-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
804 E 138TH ST, BRONX, NY 10454-1902
(718) 665-7500
(718) 665-4768
Mailing address
804 E 138TH ST, BRONX, NY 10454-1902
(718) 665-7500
(718) 665-4768
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
529191-1
NY
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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