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Individual

MS. DARLENE F. GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
244 HEMPSTEAD AVENUE, LIGHTHOUSE WOMEN'S RESIDENCE, BUFFALO, NY 14215
(716) 831-7877
(716) 831-8666
Mailing address
244 HEMPSTEAD AVENUE, LIGHTHOUSE WOMEN'S RESIDENCE, BUFFALO, NY 14215
(716) 831-7877
(716) 831-8666

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
245808-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
245808-1
LPN
NY
Enumeration date
10/13/2006
Last updated
07/08/2007
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