Individual provider · Type 1 NPI

Sanjae Thifan Gordon, MD

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

NPI number 1750135299 Active

Practice location

1 Columbia Street, Suite 302
Poughkeepsie, NY 12601

Call (845) 790-1317 Map

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 1750135299

Sanjae Thifan Gordon, MD's National Provider Identifier is 1750135299, issued on Apr 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Poughkeepsie, NY. The record was last updated on Aug 22, 2024.