Individual provider · Type 1 NPI

Nicole Gordon

Specialist · Syracuse, NY

NPI number 1376984997 Active

Practice location

918 James St
Syracuse, NY 13203-2500

Call (315) 474-1561 Map

Mailing address

45 Ballina St
Troy, NY 12180-6105

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376984997

Nicole Gordon's National Provider Identifier is 1376984997, issued on Jul 11, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 11, 2013.