Individual
MRS. MERNA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
770 GROTE STREET, BRONX, NY 10460
(718) 561-2052
(718) 561-2683
Mailing address
770 GROTE STREET, PS 188/34X, BRONZ, NY 10460
(718) 561-2052
(718) 561-2683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4672541
NY
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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