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1083219471
TAMARA GORDON
AMITYVILLE, NY
NPI
1083219471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 403325)
Enumeration Date
2020-12-02
Last Update Date
2021-06-09
Business Address
Ms. TAMARA GORDON NP
81 LOUDEN AVE
AMITYVILLE, NY 11701-2736
Phone number: 631-789-7805
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Mailing Address
Ms. TAMARA GORDON NP
81 LOUDEN AVE
AMITYVILLE, NY 11701-2736
Phone number: 631-789-7805
Copy
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