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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACY FRANCES GORDON

Active Sole Proprietor

Social Worker · BROOKHAVEN, NY

Registration Details

NPI Number
1568839785
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2015 (10.709487209076 yrs)
Last Updated
Aug 24, 2015
License
092096 (NY)
Sole Proprietor
Yes

Practice Information

Address
36 EDGAR AVE
BROOKHAVEN, NY, 117199655
Browse NY providers · Browse ZIP 11719
Phone
6312868282
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in BROOKHAVEN, NY

Name Credential NPI
MS. MARCIA MCCARROLL LMSW 1710215066
CHRIS GENOVESE 1861734279
RACHEL TIRELLI LMSW 1225408149
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.