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Amy Gordon, DAC

NPI 1598465270 · on the registry since 2023 · sole proprietor

Practice

Address
104 Lake Rd
Valley Cottage, NY 10989
Phone
(845) 825-7403
Organisation at this address
Nanda J Nevola Pt Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-09

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