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1750845137
MIRIAM GORDON PEDIATRIC NP PC
STATEN ISLAND, NY
NPI
1750845137
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Entity Type
Organization
Authorized Contact
MIRIAM BLAU
CEO
718-815-8122
Organization Subpart ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
MIRIAM GORDON PEDIATRIC NP PC
7 ISMAY STREET
STATEN ISLAND, NY 10314
Phone number: 718-815-1000
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Mailing Address
MIRIAM GORDON PEDIATRIC NP PC
7 ISMAY STREET
STATEN ISLAND, NY 10314
Phone number: 718-815-1000
Copy
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