Individual provider · Type 1 NPI

Eloise Miekle Gordon-Mallett, RN, FNP

Critical Care Medicine Registered Nurse · New York, NY

NPI number 1053757344 Active

Practice location

1000 10th Ave
New York, NY 10019-1147

Call (212) 636-3443 Map

Fax (212) 523-8189

Mailing address

222 Everett Pl
Englewood, NJ 07631-1660

Specialties and licenses

Taxonomy	Code	License
Critical Care Medicine Registered Nurse Primary	163WC0200X	440265 (NY)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1053757344

Eloise Miekle Gordon-Mallett, RN, FNP's National Provider Identifier is 1053757344, issued on May 14, 2013. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in New York, NY. The record was last updated on Sep 11, 2025.