Individual provider · Type 1 NPI

Tania Gordon

Licensed Practical Nurse · Brentwood, NY

NPI number 1508151739 Active

Practice location

349 Brentwood Pkwy
Brentwood, NY 11717-1508

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X301520 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1508151739

Tania Gordon's National Provider Identifier is 1508151739, issued on Jun 15, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brentwood, NY. The record was last updated on Jun 15, 2011.