Individual provider · Type 1 NPI

Sandra Shepherd Gordon, PA

Medical Physician Assistant · Hartford, CT

NPI number 1982031159 Active

Practice location

85 Retreat Ave
Hartford, CT 06106-2555

Call (860) 972-4183 Map

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140

Other practice locations

  • 19 Bradhurst Ave Ste 2100N, Hawthorne, NY 10532-2140 · (914) 493-8375
  • 21 Audubon Ave., Columbia Department Of Surgery, New York, NY 10032 · (212) 305-8467
  • 5 Founders St, Willimantic, CT 06226-2048 · (860) 533-5330

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5070 (CT)
Medical Physician Assistant 363AM0700X017044 (NY)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1982031159

Sandra Shepherd Gordon, PA's National Provider Identifier is 1982031159, issued on Oct 3, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Feb 6, 2023.