Individual
DR. ALEX GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
THE PINES 9822 NY-16, MACHIAS, NY 14101
(716) 353-8516
Mailing address
79 KENVIEW AVE, TONAWANDA, NY 14217-1417
(716) 698-7152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045977
NY
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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