Individual
MS. MOLLY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
1320 YORK AVE, NEW YORK, NY 10021-4800
(914) 419-2246
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432057
NY
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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