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Ivylyn Gordon
NPI 1003935941 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3480 Seymour Ave
Apt # 1 B
Bronx, NY 10469 - Phone
- (718) 882-3100
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Also registered as
- Licensed Practical Nurse
- Licence states on file
- NY, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York