Daewn Gordon LPN

NPI 1124342290 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1124342290
Gender Female
Enumeration Date 03/18/2010
Last Updated 03/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
660 E 92ND ST
BROOKLYN NY, 11236-1244, US
Phone (718) 671-2100
Fax
Business Location
660 E 92ND ST
BROOKLYN NY, 11236-1244, US
Phone (718) 671-2100
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 289620
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According to our database, Daewn Gordon LPN NPI is 1124342290, taxonomy code is 164W00000X and license number is 289620, license state is located at New York. Daewn Gordon LPN physically located at 660 E 92nd St, Brooklyn NY, 11236-1244. NPI Number Daewn Gordon LPN has the Individual type.

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1124342290 NPI number is provided on an as is basis without warranty of any kind. 1124342290 is maintained by the National Plan & Provider Enumeration System. The contents of Daewn Gordon LPN are for informational purposes only.