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Randall Gordon JR.
Driver in Mount Vernon, New York
NPI 1467141531

Randall Gordon JR. is a Driver based in Mount Vernon, NY. Randall Gordon JR. practices in Mount Vernon, NY. The NPI Number for Randall Gordon JR. is 1467141531 and holds a License No. (New York).

The current practice location address for Randall Gordon JR. is 30 Park Ave Apt 1L, Mount Vernon, NY and can be reached out via phone at 347-341-9334.

Location: 30 Park Ave Apt 1L, Mount Vernon, NY, 10550-2151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467141531
Provider Name
Randall Gordon JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
30 Park Ave Apt 1L, Mount Vernon, NY, 10550-2151
Phone Number
347-341-9334
Fax Number
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Park Ave Apt 1L
City
Mount Vernon
State
New York
Zip
10550-2151
Phone Number
347-341-9334
Fax Number
person
Provider Business Mailing Address Details
Address
30 Park Ave Apt 1L
City
Mount Vernon
State
New York
Zip
10550-2151
Phone Number
347-341-9334
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
(New York)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
(New York)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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