Mara Gordon LLC

NPI #1184061038 in Carmel, New York

Provider Information

NPI Number
1184061038
Entity Type
Organization
Organization Name
Mara Gordon LLC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jun 2, 2013
Last Updated
Jun 2, 2013

Practice Location

Address
221 NICHOLS ST
City
Carmel
ZIP Code
10512-5022
Phone
(917) 514-9831

Authorized Official

Name
MS. MARA JOAN GORDON, P.T.
Title
SOLE PROPRIETOR
Phone
(917) 514-9831

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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