Individual
THOMAS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 4TH AVE, WATERVLIET, NY 12189-3608
(518) 944-5772
Mailing address
814 4TH AVE, WATERVLIET, NY 12189-3608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/31/2021
Last updated
10/31/2021
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