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Randall Gordon
NPI 1467141531 · on the registry since 2023
Practice
- Address
- 30 Park Ave Apt 1l
Mount Vernon, NY 10550 - Phone
- (347) 341-9334
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 3747P1801X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-04
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