Individual
MRS. ODELYN LORNA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13255 RIDGEDALE ST, SPRINGFIELD GARDENS, SPRINGFIELD GARDENS, NY 11413-1500
(718) 276-5959
Mailing address
18403 N CONDUIT AVE, SPRINGFIELD GARDENS, SPRINGFIELD GARDENS, NY 11413-3233
(718) 949-7357
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22. 581964
NY
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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