Individual provider · Type 1 NPI

Jennifer Ryan Gordon, ATS

Student in an Organized Health Care Education/Training Program · Ithaca, NY

NPI number 1023588472 Active

Practice location

953 Danby Rd
Ithaca, NY 14850-7000

Call (802) 349-6881 Map

Mailing address

1033 Danby Rd Apt 351-02
Ithaca, NY 14850-7007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023588472

Jennifer Ryan Gordon, ATS's National Provider Identifier is 1023588472, issued on Nov 28, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ithaca, NY. The record was last updated on Nov 28, 2018.