Ryan Rae Gordoncillo
Ryan Rae Gordoncillo is a Licensed Practical Nurse in Burlingham, New York. Licensed in New York. Registered with an NPI since 2024.
- Licensed in
- NY
- In the registry since
- 2024
Practice location PO Box
PO Box 21Burlingham, NY 12722-0021
Phone: (845) 630-9209
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 35180801 (NY) |
|---|
Record details
| NPI number | 1134943640 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 12, 2024 |
| Last updated in NPPES | November 12, 2024 |
| Certification date | November 11, 2024 |
| Mailing address | Po Box 21, Burlingham, NY 12722-0021 |