Susan Gordon M.D.

NPI 1073519302 - Anesthesiology - 207L00000X

NPI Details
NPI 1073519302
Gender Female
Enumeration Date 06/22/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
27005 76TH AVE
NEW HYDE PARK NY, 11040-1433, US
Phone (718) 470-7390
Fax
Business Location
66 POWERHOUSE RD
FL 3
ROSLYN HEIGHTS NY, 11577-1324, US
Phone (516) 626-6366
Fax
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 173179
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According to our database, Dr. Susan Gordon M.D. NPI is 1073519302, taxonomy code is 207L00000X and license number is 173179, license state is located at New York. Susan Gordon M.D. physically located at 27005 76th Ave, New Hyde Park NY, 11040-1433. NPI Number Susan Gordon M.D. has the Individual type.

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1073519302 NPI number is provided on an as is basis without warranty of any kind. 1073519302 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Gordon M.D. are for informational purposes only.