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Organization
LESLIE E. GORDON, MD P.C.
Active
Organization
LESLIE E. GORDON, MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE ELLEN GORDON MD (OWNER)
(917) 531-0197
Entity
Organization
Contact information
Practice address
2600 NETHERLAND AVE STE 102, BRONX, NY 10463-4813
(718) 709-0955
Mailing address
2600 NETHERLAND AVE STE 102, BRONX, NY 10463-4813
(718) 709-0955
Taxonomy
Speciality
Code
Description
License number
State
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
—
NULL
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104038231
EMPIRE BCBS
NY
01
—
112358021
1199
NY
01
—
408107
GHI
NY
01
—
6922512
CIGNA
NY
01
—
9123112
AETNA
NY
01
—
P3908626
OXFORD
NY
Enumeration date
12/09/2020
Last updated
07/02/2021
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