Individual
ARIEL ESTHER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(215) 534-0891
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(215) 534-0891
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
NY
Enumeration date
03/26/2022
Last updated
03/26/2022
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