Individual provider · NPI-1

Nichole Gordon

Registered Nurse, Psych/Mental Health, Adult · Binghamton, NY

NPI number1861268823
StatusActive
Last updated in NPPESNov 30, 2023

Details

NPI
1861268823
Entity type
Individual (NPI-1)
Name
Nichole Gordon
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2023
Certification date
Nov 29, 2023
Last updated
Nov 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult692591NYYes

Practice location

425 Robinson St
Binghamton, NY 13904-1775

Phone 607-773-4422

Mailing address

235 Robinson St
Binghamton, NY 13904-1645

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