Gordon, Chanelle

Gordon, Chanelle is an individual health care provider with primary practice located at 11816 197Th St , Saint Albans NY 11412-3456. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gordon, Chanelle can be contacted via phone (347) 752-8240.

Contact Information

Primary practice address
11816 197Th St Saint Albans NY 11412-3456
Phone: (347) 752-8240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 354879 New York

Profile Details

NPI number 1114462397
LBN Legal business name Gordon, Chanelle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2016
Last updated Sep 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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