Individual
DR. JEFFREY B GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 PORTLAND AVE, STE 400, ROCHESTER, NY 14621-3038
(585) 922-4200
Mailing address
1415 PORTLAND AVE, STE 400, ROCHESTER, NY 14621-3038
(585) 922-4200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
151996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00958443
—
NY
Enumeration date
09/20/2006
Last updated
01/28/2010
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