Ivylyn Gordon

NPI #1003935941 in Bronx, New York

Provider Information

NPI Number
1003935941
Entity Type
Individual
Name
Ivylyn Gordon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 29, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
3480 SEYMOUR AVE
Address 2
APT # 1 B
City
Bronx
ZIP Code
10469-2144
Phone
(718) 882-3100

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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