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1134979289
KENNETH GORDON
BRONX, NY
NPI
1134979289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
Dr. KENNETH GORDON
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: 718-960-9000
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Mailing Address
Dr. KENNETH GORDON
137 ALEXANDER ST APT 2211
YONKERS, NY 10701-5287
Phone number: 917-588-7321
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