Nicole Gordon

NPI #1376984997 in Syracuse, New York

Provider Information

NPI Number: 1376984997
Entity Type: Individual
Name: Nicole Gordon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 11, 2013
Last Updated: Jul 11, 2013

Practice Location

Address: 918 JAMES ST
City: Syracuse
State: New York
ZIP Code: 13203-2500
Phone: (315) 474-1561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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