Gordon, Brigitte L

Gordon, Brigitte L is an individual health care provider with primary practice located at 75 Crystal Run Rd Ste 135 , Middletown NY 10941. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gordon, Brigitte L can be contacted via phone (845) 333-7800.

Contact Information

Primary practice address
75 Crystal Run Rd Ste 135 Middletown NY 10941
Phone: (845) 333-7800
Fax: (845) 333-7696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 659845-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 40 401775 New York

Profile Details

NPI number 1437590999
LBN Legal business name Gordon, Brigitte L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2013
Last updated Aug 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437590999 NPPES
New York MEDICAID 04276486

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