Active NPIIndividual providerSole proprietor

Shaneice Gordon

Registered Nurse in Spring Valley, New York

NPI Number1720976210
Practice location
42 N Main St, Spring Valley, NY 10977-4906
Fax
—
Last updated
June 25, 2025

Shaneice Gordon is a Registered Nurse based in Spring Valley, NY. Shaneice Gordon practices in Spring Valley, NY. The NPI Number for Shaneice Gordon is 1720976210 and holds a License No. 990088 (NY). The current practice location address for Shaneice Gordon is 42 N Main St, Spring Valley, NY 10977-4906 and can be reached out via phone at 844-828-2666.

Provider Profile Details

NPI Number
1720976210
Provider Name
Shaneice Gordon
Provider Entity Type
Individual
Gender
Female
Address
42 N Main St, Spring Valley, NY 10977-4906
Phone Number
844-828-2666
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 25, 2025
Last Update Date
June 25, 2025
Certification Date
June 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 N Main St
Spring Valley, NY 10977-4906
Zip
10977-4906
Phone Number
844-828-2666
Spring Valley, NY 10977Get directions →

Provider Business Mailing Address Details

Address
1032 E 228TH St
Bronx, NY 10466-4820
City
Bronx
State
NY
Zip
10466-4820

License Information

License Number
990088
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shaneice Gordon?

The NPI number of Shaneice Gordon is 1720976210. It was assigned on June 25, 2025 and is currently active in the NPPES registry.

What is the specialty of Shaneice Gordon?

Shaneice Gordon is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 990088.

Where does Shaneice Gordon practice?

The practice location is 42 N Main St, Spring Valley, NY 10977-4906. The office can be reached at 844-828-2666 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720976210 directly on the NPPES registry website.

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