National Provider Identifier
Ginel Chontaie Gordon, NP
Ginel Chontaie Gordon, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 723-7870.
Profile Overview
- NPI
- 1891288551
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- June 07, 2018
- Last Updated
- December 04, 2019
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 723-7870
Mailing Address
- 111 Lafayette RD Apt 207
- Syracuse, NY 13205-2901
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1891288551
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Ginel
- Middle Name
- Chontaie
- Credential
- NP
- Mailing Street Address
- 111 Lafayette RD Apt 207
- Mailing City
- Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13205-2901
- Mailing Country
- US
- Mailing Phone
- (516) 424-8646
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7870
- Practice Fax
- (585) 723-7871
- Enumeration Date
- June 07, 2018
- Last Updated
- December 04, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)