Randall Gordon Jr.
Randall Gordon Jr. is a Personal Care Attendant in Mount Vernon, New York. Licensed in New York. Registered with an NPI since 2023.
- Licensed in
- NY
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
30 Park Ave Apt 1LMount Vernon, NY 10550-2151
Phone: (347) 341-9334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X (NY) |
|---|---|
| Personal Care Attendant | Taxonomy 3747P1801X (NY) |
Record details
| NPI number | 1467141531 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 4, 2023 |
| Last updated in NPPES | May 4, 2023 |
| Certification date | May 4, 2023 |
| Mailing address | 30 Park Ave Apt 1l, Mount Vernon, NY 10550-2151 |
Other providers in Mount Vernon
-
MS. Rose Koomson
247 N Macquesten Pkwy, Mount Vernon, NY 10550-1005 · (914) 699-3948