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Organization
ISLAND MEN'S MEDICAL HEALTH PRACTICE, PC
Active
Organization
ISLAND MEN'S MEDICAL HEALTH PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY GORDON MD (PHYSICIAN)
(718) 979-4350
Entity
Organization
Contact information
Practice address
1551 RICHMOND RD, STATEN ISLAND, NY 10304-2313
(718) 979-4350
(718) 979-4825
Mailing address
1551 RICHMOND RD, STATEN ISLAND, NY 10304-2313
(718) 979-4350
(718) 979-4825
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
097198
NY
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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