Individual
CHRISTINE GORDON-SORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 BURKE AVE, BRONX, NY 10469-3006
(718) 778-5380
Mailing address
1417 BURKE AVE, BRONX, NY 10469-3006
(718) 778-5380
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316305-1
NY
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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