Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Shantel Lynette Gordon

Individual provider Specialist · NPI 1184301681

MS. Shantel Lynette Gordon is a Specialist in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

61-43 186th St
Fresh Meadows, NY 11365-2710
Phone: (917) 557-8636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2583471 (NY)

Record details

NPI number1184301681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

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