Organization · Type 2 NPI
Miriam Gordon Pediatric NP PC
Pediatric Nurse Practitioner · Brooklyn, NY
NPI number
1306233408
Active
Practice location
6010 Bay Pkwy Fl 9
Brooklyn, NY 11204-6079
Fax (718) 815-8122
Mailing address
302 Manor Rd
Staten Island, NY 10314-2408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 381940 (NY) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Brooklyn
About NPI 1306233408
Miriam Gordon Pediatric NP PC's National Provider Identifier is 1306233408, issued on Apr 16, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 16, 2015.