SearchNew York164W00000X

Oavah Gordon

NPI 1578426110 · on the registry since 2025 · sole proprietor

Practice

Address
34 Fountain Pl
Poughkeepsie, NY 12603
Phone
(845) 453-7136

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-09

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