Gordon-Mallett, Eloise Miekle

Gordon-Mallett, Eloise Miekle is an individual health care provider with primary practice located at 1000 10Th Ave , New York NY 10019-1147. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Gordon-Mallett, Eloise Miekle can be contacted via phone (212) 636-3443.

Contact Information

Primary practice address
1000 10Th Ave New York NY 10019-1147
Phone: (212) 636-3443
Fax: (212) 523-8189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 440265 New York
Nursing Service Providers / Licensed Practical Nurse 164W00000X F337206 New York

Profile Details

NPI number 1053757344
LBN Legal business name Gordon-Mallett, Eloise Miekle
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2013
Last updated Apr 18th, 2019 - about 5 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 1053757344 NPPES
New York Other 440265 NEW YORK STATE REGISTERED PROFESSIONAL NURSE
New York Other F337206 NEW YORK STATE REGISTERED PROFESSIONAL NURSE

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