NPI 1467141531

Randall Gordon

Practitioner Driver Mount Vernon, NY

Practice location

Address: 30 Park Ave APT 1l, Mount Vernon, NY 10550-2151
Phone: (347) 341-9334

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1467141531
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2023
Record last updated: 4 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.