Individual
DR. GREGG GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20620 LINDEN BLVD, CAMBRIA HTS, NY 11411-1524
(718) 479-6600
(718) 264-7080
Mailing address
55 WATER ST, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
181037
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01190761
—
NY
Enumeration date
06/14/2006
Last updated
03/03/2022
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