National Provider Identifier
Jennifer Julien Gordon
Jennifer Julien Gordon is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (171) 656-6505.
Profile Overview
- NPI
- 1427667864
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 30, 2020
- Last Updated
- July 28, 2023
Practice Location
- 800 Hertel Ave Ste 101
- Buffalo, NY 14207-1906
Phone: (171) 656-6505
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1427667864
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Jennifer
- Middle Name
- Julien
- Mailing Street Address
- 800 Hertel Ave Ste 101
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1906
- Mailing Country
- US
- Mailing Phone
- (171) 656-6505
- Practice Street Address
- 800 Hertel Ave Ste 101
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1906
- Practice Country
- US
- Practice Phone
- (171) 656-6505
- Enumeration Date
- July 30, 2020
- Last Updated
- July 28, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)