COLLIE AINSWORTH GORDON

BROOKLYN, NY
NPI1588268205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  593873)
Enumeration Date2020-11-23
Last Update Date2020-11-23
Business Address
COLLIE AINSWORTH GORDON
125 STUYVESANT AVE
BROOKLYN, NY 11221-1909
Phone number: 718-574-3126
Mailing Address
COLLIE AINSWORTH GORDON
779 DREW ST
BROOKLYN, NY 11208-4789
Phone number: 718-348-4105
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