Individual
MS. DORIE A GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W 111TH ST # 1D, NEW YORK, NY 10025-1813
(917) 576-8827
Mailing address
600 W 111TH ST # 1D, NEW YORK, NY 10025-1813
(917) 576-8827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
282035
NY
235500000X
Speech/Language/Hearing Specialist/Technologist
1773625231
NY
Other
Enumeration date
01/03/2024
Last updated
02/19/2024
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