Individual
PAMELA LAUREN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPFA
Contact information
Practice address
150 CHURCH ST, NORTHPORT, NY 11768-3001
(516) 521-5908
Mailing address
150 CHURCH ST, NORTHPORT, NY 11768-3001
(516) 521-5908
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
309361
NY
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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