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Peta-Gaye Gordon
NPI 1740664374 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3215 Seymour Ave
Bronx, NY 10469 - Phone
- (347) 740-5621
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-15
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