National Provider Identifier
Jennifer Ryan Gordon, ATS
Jennifer Ryan Gordon, ATS is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (802) 349-6881.
Profile Overview
- NPI
- 1023588472
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- November 28, 2018
- Last Updated
- November 28, 2018
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7000
Phone: (802) 349-6881
Mailing Address
- 1033 Danby RD Apt 351-02
- Ithaca, NY 14850-7007
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1023588472
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Jennifer
- Middle Name
- Ryan
- Credential
- ATS
- Mailing Street Address
- 1033 Danby RD Apt 351-02
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-7007
- Mailing Country
- US
- Mailing Phone
- (802) 349-6881
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7000
- Practice Country
- US
- Practice Phone
- (802) 349-6881
- Enumeration Date
- November 28, 2018
- Last Updated
- November 28, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)