Individual
BEVERLEY D GORODN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3437 CORSA AVE APT 1B, BRONX, NY 10469-1929
(917) 251-6346
Mailing address
3437 CORSA AVE APT 1B, BRONX, NY 10469-1929
(917) 251-6346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
339881
NY
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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