Body by Yashi Gordon RPN PLLC

Organization Active NPI Family Nurse Practitioner · Hollis, NY

NPI 1346053196 · NPPES record last updated Jan 28, 2025

Key facts

NPI
1346053196
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
BODY BY YASHI GORDON RPN PLLC
Practice address
18808 Jamaica Ave
Hollis, NY 11423-2556
Phone
(718) 913-2365
NPI assigned
Jan 27, 2025
Organization subpart
No

Authorized official

Name
Yashi Gordon
Title
Owner
Phone
(718) 913-2365

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

18808 Jamaica Ave
Hollis, NY 11423
Phone (718) 913-2365

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

18808 Jamaica Ave
Hollis, NY 11423-2556

Mailing address

18808 Jamaica Ave
Hollis, NY 11423-2556

Other providers in Hollis, NY

All providers in Hollis, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.