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MS. ANNA LAVELLE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M

Contact information

Practice address
8914 80TH ST FL 1, WOODHAVEN, NY 11421-2414
(917) 379-1994
Mailing address
8914 80TH ST FL 1, WOODHAVEN, NY 11421-2414
(917) 379-1994

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY

Other

Enumeration date
11/14/2016
Last updated
11/14/2016
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