Gregg Gordon MD

NPI 1083657126 - Ophthalmology - 207W00000X

NPI Details
NPI 1083657126
Gender Male
Enumeration Date 06/14/2006
Last Updated 03/29/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
20620 LINDEN BLVD
CAMBRIA HTS NY, 11411-1524, US
Phone (646) 680-2894
Fax (516) 542-5556
Business Location
441 NINTH AVENUE
3RD FLOOR ACPNY CREDENTIALING
NEW YORK NY, 10001, US
Phone (646) 680-2894
Fax (516) 542-5556
Toxanomy
Taxonomy Code 207W00000X
License State New York
License Number 181037
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According to our database, Dr. Gregg Gordon MD NPI is 1083657126, taxonomy code is 207W00000X and license number is 181037, license state is located at New York. Gregg Gordon MD physically located at 20620 Linden Blvd, Cambria Hts NY, 11411-1524. NPI Number Gregg Gordon MD has the Individual type.

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1083657126 NPI number is provided on an as is basis without warranty of any kind. 1083657126 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg Gordon MD are for informational purposes only.