Individual provider · Type 1 NPI

Kenneth Gordon Jr.

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

NPI number 1134979289 Active

Practice location

4422 3rd Ave
Bronx, NY 10457-2545

Call (718) 960-9000 Map

Mailing address

137 Alexander St Apt 2211
Yonkers, NY 10701-5287

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 1134979289

Kenneth Gordon Jr.'s National Provider Identifier is 1134979289, issued on Mar 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Mar 22, 2024.