Provider Demographics
NPI:1437590999
Name:GORDON, BRIGITTE L (RN)
Entity type:Individual
Prefix:MS
First Name:BRIGITTE
Middle Name:L
Last Name:GORDON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:145 PALISADE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1627
Mailing Address - Country:US
Mailing Address - Phone:914-348-2216
Mailing Address - Fax:845-231-6827
Practice Address - Street 1:145 PALISADE ST STE 200
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1627
Practice Address - Country:US
Practice Address - Phone:914-348-2216
Practice Address - Fax:845-231-6827
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY40 401775363LP0808X
NY659845-1163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04276486Medicaid