Organization · Type 2 NPI
Miriam Gordon Pediatric NP PC
Pediatric Nurse Practitioner · Staten Island, NY
NPI number
1750845137
Active
Practice location
7 Ismay Street
Staten Island, NY 10314
Fax (718) 815-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1750845137
Miriam Gordon Pediatric NP PC's National Provider Identifier is 1750845137, issued on Jan 30, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Staten Island, NY. The record was last updated on Jan 30, 2019.