Individual
PRISCILLA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 705-1200
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
440251
NY
Other
Enumeration date
06/29/2006
Last updated
07/02/2014
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