Individual
DAVID CHRISTOPHER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 788-1751
(315) 788-9021
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 788-1751
(315) 788-9021
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
238645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02748167
—
NY
Enumeration date
08/12/2006
Last updated
02/06/2024
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