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Ms. Shantel Lynette Gordon
Specialist in Fresh Meadows, New York
NPI 1184301681

Shantel Lynette Gordon is a Specialist based in Bronx, NY. Shantel Lynette Gordon practices in Fresh Meadows, NY. The NPI Number for Shantel Lynette Gordon is 1184301681 and holds a License No. 2583471 (New York).

The current practice location address for Shantel Lynette Gordon is 61-43 186Th Street, Fresh Meadows, NY and can be reached out via phone at 917-557-8636.

Location: 61-43 186Th Street, Fresh Meadows, NY, 10466-5845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184301681
Provider Name
Shantel Lynette Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
61-43 186Th Street, Fresh Meadows, NY, 10466-5845
Phone Number
917-557-8636
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
61-43 186Th Street
City
Fresh Meadows
State
New York
Zip
11365-2710
Phone Number
917-557-8636
Fax Number
person
Provider Business Mailing Address Details
Address
61-43 186Th Street
City
Fresh Meadows
State
New York
Zip
11365-2710
Phone Number
917-557-8636
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2583471 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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