Individual
GORDON CUBBERLEY LEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 W 96TH ST, APT. 1202, NEW YORK, NY 10025-6191
(718) 920-4295
Mailing address
323 W 96TH ST, APT. 1202, NEW YORK, NY 10025-6191
(718) 920-4295
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
248807-1
NY
2084P0800X
Psychiatry Physician
A102667
CA
Other
Enumeration date
06/08/2008
Last updated
06/08/2008
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