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1780907832
IVAN GORDON
BRONX, NY
NPI
1780907832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 034757)
Enumeration Date
2010-03-03
Last Update Date
2015-12-12
Business Address
-- IVAN GORDON R.Ph.
2330 EASTCHESTER RD
BRONX, NY 10469-5930
Phone number: 347-533-6000
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Mailing Address
-- IVAN GORDON R.Ph.
2158 VINE DR
MERRICK, NY 11566-5512
Phone number:
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