MIRIAM GORDON PEDIATRIC NP PC

STATEN ISLAND, NY
NPI1750845137
Entity TypeOrganization
Authorized ContactMIRIAM BLAU
CEO
718-815-8122
Organization Subpart ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2019-01-30
Last Update Date2019-01-30
Business Address
MIRIAM GORDON PEDIATRIC NP PC
7 ISMAY STREET
STATEN ISLAND, NY 10314
Phone number: 718-815-1000
Mailing Address
MIRIAM GORDON PEDIATRIC NP PC
7 ISMAY STREET
STATEN ISLAND, NY 10314
Phone number: 718-815-1000