Organization
EMPIRE GATE MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GORDON (COO)
(646) 217-4610
Entity
Organization
Contact information
Practice address
8810 PARSONS BLVD, JAMAICA, NY 11432-3842
(718) 291-8111
(718) 487-9343
Mailing address
111 BROADWAY, #1005, NEW YORK, NY 10006-1951
(646) 217-4610
(917) 591-8596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
163293
NY
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
05/22/2014
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