Individual provider · Type 1 NPI

Ivylyn Gordon

Licensed Practical Nurse · Bronx, NY

NPI number 1003935941 Active

Practice location

3480 Seymour Ave, Apt # 1 B
Bronx, NY 10469-2144

Call (718) 882-3100 Map

Mailing address

PO Box 690012
Bronx, NY 10469-0760

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X183896-1 (NY)
Licensed Practical Nurse 164W00000X030714 (CT)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003935941

Ivylyn Gordon's National Provider Identifier is 1003935941, issued on Mar 29, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Jul 9, 2007.