Individual
DANIQUE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5439 ARLINGTON AVE, BRONX, NY 10471-1218
(646) 369-2352
Mailing address
1050 E 225TH ST, BRONX, NY 10466-4804
(917) 447-0025
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
356102
NY
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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